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General NPI Number Information
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NPI Number | 1255542916
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Entity Type | Individual
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Provider Name | RICHARD ELLIOTT SCHUGAR O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 182 SAWYER DR
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City | CUDJOE KEY
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State | FL
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Zip | 33042-4040
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Country | US
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Telephone | 305-587-3981
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Fax | 303-832-2266
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Provider Business Mailing Address
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Address Line | 182 SAWYER DR
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City | CUDJOE KEY
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State | FL
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Zip | 33042-4040
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Country | US
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Telephone | 305-587-3981
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Fax | 303-832-2266
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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 | OPC 1184
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2271
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License Number State | CO
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