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General NPI Number Information
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NPI Number | 1083824361
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Entity Type | Individual
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Provider Name | MICHELLE M HEBERT O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 7775 N WICKHAM RD
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City | MELBOURNE
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State | FL
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Zip | 32940-7914
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Country | US
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Telephone | 321-984-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 995 N HIGHWAY A1A
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City | INDIALANTIC
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State | FL
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Zip | 32903-2940
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Country | US
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Telephone | 321-961-3503
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OPC3701
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC3701
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License Number State | FL
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