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General NPI Number Information
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NPI Number | 1306371927
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Entity Type | Organization
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Legal Business Name | DR. JENNIFER BAUZA, PA
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 8220 GLADES RD
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City | BOCA RATON
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State | FL
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Zip | 33434-4002
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Country | US
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Telephone | 561-487-3340
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Fax | 561-488-4285
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Provider Business Mailing Address
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Address Line | 8890 NW 78TH CT APT 342
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City | TAMARAC
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State | FL
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Zip | 33321-1464
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER BAUZA PAJER
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Credential |
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Telephone | 786-333-3338
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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 | OPC 4423
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License Number State | FL
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