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General NPI Number Information
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NPI Number | 1154780773
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Entity Type | Organization
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Legal Business Name | OPTICAL INSIGHT OF PALM SPRINGS, LLC
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 3015 S CONGRESS AVE STE 8
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City | PALM SPRINGS
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State | FL
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Zip | 33461-2111
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Country | US
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Telephone | 561-967-4355
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Fax | 561-967-4466
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Provider Business Mailing Address
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Address Line | 514 E WOOLBRIGHT RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6033
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Country | US
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Telephone | 561-734-2972
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Fax | 561-734-2972
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDA ALVAREZ
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Credential |
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Telephone | 561-964-1333
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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 |
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License Number State |
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