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General NPI Number Information
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NPI Number | 1144742776
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Entity Type | Organization
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Legal Business Name | DADA EYECARE INC
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 02/19/2023
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Provider Practice Location Address
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Address Line | 2300 E SEMORAN BLVD UNIT G
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City | APOPKA
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State | FL
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Zip | 32703-5809
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Country | US
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Telephone | 407-893-2733
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Fax | 407-893-2732
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Provider Business Mailing Address
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Address Line | 2024 RED BLUFF AVE
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City | APOPKA
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State | FL
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Zip | 32712-2121
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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 | OPTOMETRIST
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Name | DR. DAVID DADA
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Credential | OD
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Telephone | 407-341-4968
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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 | OPC4965
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License Number State | FL
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