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General NPI Number Information
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NPI Number | 1255579454
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Entity Type | Organization
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Legal Business Name | PARAMOUNT EYES, INC
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 01/26/2009
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Provider Practice Location Address
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Address Line | 3533 N PINE ISLAND RD
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City | SUNRISE
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State | FL
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Zip | 33351-6638
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Country | US
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Telephone | 954-530-5308
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Fax | 954-530-3486
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Provider Business Mailing Address
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Address Line | 8579 SW 23RD CT
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City | MIRAMAR
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State | FL
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Zip | 33025-2093
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Country | US
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Telephone | 954-530-5308
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Fax | 954-530-3486
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JULIUS AKINTUNDE ADEYIGA
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Credential |
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Telephone | 954-530-5308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332G00000X
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Taxonomy Name | Eye Bank
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License Number | OE1729
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License Number State | FL
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