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General NPI Number Information
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NPI Number | 1033910740
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Entity Type | Organization
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Legal Business Name | CARE OPTICAL, LLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 4300 W BROWARD BLVD
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City | PLANTATION
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State | FL
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Zip | 33317-3706
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Country | US
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Telephone | 305-933-0788
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Fax | 786-558-0911
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Provider Business Mailing Address
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Address Line | 9732 SW 24TH ST
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City | MIAMI
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State | FL
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Zip | 33165-7513
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Country | US
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Telephone | 905-933-0788
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Fax | 786-558-0911
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MELODY BOLANOS
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Credential | DO
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Telephone | 954-608-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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