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General NPI Number Information
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NPI Number | 1295349819
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Entity Type | Organization
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Legal Business Name | JULIETTE EYE INSTITUTE LLC
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 8801 HORIZON BLVD STE 130
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City | ALBUQUERQUE
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State | NM
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Zip | 87113
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Country | US
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Telephone | 505-355-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 8801 HORIZON BLVD STE 130
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City | ALBUQUERQUE
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State | NM
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Zip | 87113
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Country | US
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Telephone | 505-355-2020
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT MELENDEZ
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Credential | MD
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Telephone | 505-235-4781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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