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General NPI Number Information
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NPI Number | 1295951580
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Entity Type | Individual
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Provider Name | OSIRIS BELEN JUGO DO
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10773 NW 58TH ST #130
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City | DORAL
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State | FL
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Zip | 33178
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Country | US
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Telephone | 305-781-1142
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Fax | 305-884-7949
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Provider Business Mailing Address
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Address Line | 10902 NW 83 ST APT 108
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City | DORAL
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State | FL
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Zip | 33178
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Country | US
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Telephone | 305-781-1142
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Fax | 305-884-7949
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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 | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number | DO5698
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | DO5698
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO5698
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License Number State | FL
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