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General NPI Number Information
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NPI Number | 1265119986
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Entity Type | Individual
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Provider Name | CLAUDIA KATARZYNA HNULIK OD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2023
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Last Update Date | 07/04/2023
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Provider Practice Location Address
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Address Line | 11391 CAUSEWAY BLVD
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City | BRANDON
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State | FL
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Zip | 33511-2904
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Country | US
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Telephone | 303-875-9738
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Fax |
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Provider Business Mailing Address
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Address Line | 5350 BRIDGE ST APT 1104
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City | TAMPA
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State | FL
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Zip | 33611-3278
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Country | US
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Telephone | 303-875-9738
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC6267
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License Number State | FL
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