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General NPI Number Information
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NPI Number | 1063784072
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Entity Type | Organization
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Legal Business Name | EYE ZONE C.S.P
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 03/24/2024
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Provider Practice Location Address
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Address Line | SAN SEBASTIAN SHPG CTR 4100 AVE ARCADIO ESTRADA SUITE 283
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-3216
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Country | US
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Telephone | 787-896-7021
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5140
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-5140
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KARLA J VELEZ QUINTANA
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Credential |
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Telephone | 787-896-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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