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General NPI Number Information
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NPI Number | 1083834329
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Entity Type | Organization
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Legal Business Name | EYE & OPTICS VISION CARE INC.
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 01/14/2010
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Provider Practice Location Address
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Address Line | 271 AVE EMILIANO POL LA CUMBRE
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City | SAN JUAN
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State | PR
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Zip | 00926-5539
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Country | US
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Telephone | 787-708-5838
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Fax | 787-708-5838
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Provider Business Mailing Address
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Address Line | 271 CALLE SIERRA MORENA LA CUMBRE
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City | SAN JUAN
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State | PR
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Zip | 00926-5539
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Country | US
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Telephone | 787-708-5821
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Fax | 787-708-5838
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JENNIFER MARIE ALSINA
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Credential | OPTOMETRIST
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Telephone | 787-708-5838
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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 | 466
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License Number State | PR
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