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General NPI Number Information
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NPI Number | 1255006482
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Entity Type | Individual
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Provider Name | MICHELLE ATTZS MBBS
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 807 CHILDRENS WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8426
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Country | US
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Telephone | 202-904-9095
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Fax |
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Provider Business Mailing Address
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Address Line | 807 CHILDRENS WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8426
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Country | US
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Telephone | 904-563-1408
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 7134490
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License Number State | ZZ
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | ME163908
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License Number State | FL
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