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General NPI Number Information
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NPI Number | 1265544621
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Entity Type | Organization
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Legal Business Name | INFINITY VISION INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 4500 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3045
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Country | US
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Telephone | 305-620-3901
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Fax | 305-620-3940
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Provider Business Mailing Address
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Address Line | 4500 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3045
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Country | US
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Telephone | 305-620-3901
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Fax | 305-620-3940
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MANUEL F PEREZ
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Credential |
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Telephone | 305-620-3901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO 4712
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License Number State | FL
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