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General NPI Number Information
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NPI Number | 1083956387
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Entity Type | Organization
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Legal Business Name | BRIAN A. ASALONE, O.D., P.A.
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 2583 E SUNRISE BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33304-3203
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Country | US
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Telephone | 954-563-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 NE 9TH AVE
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City | WILTON MANORS
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State | FL
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Zip | 33305-2266
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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 | BRIAN ASALONE
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Credential | O.D.
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Telephone | 954-873-5392
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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 | OPC003680
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License Number State | FL
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