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General NPI Number Information
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NPI Number | 1225240351
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Entity Type | Organization
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Legal Business Name | DR IAN FIELD OPTOMETRIST PA
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 5571 W HILLSBORO BLVD WALMART VISION CENTER
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4376
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Country | US
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Telephone | 954-574-6735
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Fax |
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Provider Business Mailing Address
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Address Line | 5571 W HILLSBORO BLVD WAL-MART VISION CENTER
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4376
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Country | US
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Telephone | 954-574-6735
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | IAN FIELD
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Credential | OD
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Telephone | 561-392-2030
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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 | OPC1216
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License Number State | FL
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