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General NPI Number Information
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NPI Number | 1235638008
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Entity Type | Organization
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Legal Business Name | EYE & EAR OF PALM BEACH GARDENS, LLC
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 9123 N MILITARY TRAIL 101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5990
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Country | US
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Telephone | 561-622-8200
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Fax | 561-622-8308
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Provider Business Mailing Address
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Address Line | 9123 N MILITARY TRAIL 101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-5990
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Country | US
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Telephone | 561-622-8200
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Fax | 561-622-8308
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Authorized Official
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Title or Position | OWNER/OD
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Name | BARRY A FRANKEL
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Credential | OD
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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 | OPC3338
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License Number State | FL
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