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General NPI Number Information
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NPI Number | 1184826208
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Entity Type | Individual
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Provider Name | ELLIOTT M SLOAS O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3661 S ORLANDO DR
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City | SANFORD
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State | FL
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Zip | 32773-5611
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Country | US
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Telephone | 407-323-4640
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Fax |
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Provider Business Mailing Address
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Address Line | 729 BEAR CREEK CIR
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-3892
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Country | US
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Telephone | 407-748-8832
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OPC4064
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License Number State | FL
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