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General NPI Number Information
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NPI Number | 1285922203
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Entity Type | Individual
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Provider Name | BIJAL BEECUM O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 12/09/2016
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Provider Practice Location Address
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Address Line | 1201 COUNTY ROAD 581
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9261
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Country | US
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Telephone | 813-994-2614
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Fax |
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Provider Business Mailing Address
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Address Line | 15651 DUNNS POND CT
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City | ODESSA
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State | FL
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Zip | 33556-3738
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Country | US
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Telephone | 727-207-4141
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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 | OPC4693
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License Number State | FL
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