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General NPI Number Information
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NPI Number | 1083475453
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Entity Type | Organization
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Legal Business Name | LAS MERCEDES VISION, LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 11735 SW 147TH AVE UNIT 16
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City | MIAMI
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State | FL
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Zip | 33196-3330
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Country | US
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Telephone | 786-953-8200
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Fax | 786-953-8647
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Provider Business Mailing Address
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Address Line | 11735 SW 147TH AVE UNIT 16
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City | MIAMI
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State | FL
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Zip | 33196-3330
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Country | US
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Telephone | 786-953-8200
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Fax | 786-953-8647
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NOEMI ZUBIZARRETA
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Credential | OD
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Telephone | 786-233-6981
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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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