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General NPI Number Information
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NPI Number | 1033514245
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Entity Type | Organization
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Legal Business Name | PAUL'S OPHTHALMICS CORP
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/31/2014
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Provider Practice Location Address
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Address Line | C 13 CALLE 5 LA PARGUERA URB VILLAS DE LA BAHIA
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-466-1049
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Fax | 939-214-7128
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Provider Business Mailing Address
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Address Line | PO BOX 3099
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City | LAJAS
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State | PR
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Zip | 00667-3099
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Country | US
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Telephone | 787-466-1049
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Fax | 939-214-7128
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL OLIVER LONGORIA
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Credential |
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Telephone | 787-466-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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