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General NPI Number Information
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NPI Number | 1104203462
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Entity Type | Organization
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Legal Business Name | ASHLY WEISSFIELD PA
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 18809 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-2817
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Country | US
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Telephone | 305-792-4303
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Fax | 305-792-5803
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Provider Business Mailing Address
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Address Line | 18809 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-2817
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Country | US
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Telephone | 305-792-4303
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Fax | 305-792-5803
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ASHLY WEISSFIELD
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Credential | P.A.
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Telephone | 561-346-2148
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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 | FL3527
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License Number State | FL
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