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General NPI Number Information
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NPI Number | 1326234048
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Entity Type | Individual
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Provider Name | ARMANDO A ANGULO JR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 02/05/2016
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Provider Practice Location Address
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Address Line | 5663 SW 2ND ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-1019
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Country | US
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Telephone | 786-390-1152
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Fax |
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Provider Business Mailing Address
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Address Line | 3711 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-5526
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Country | US
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Telephone | 786-390-1152
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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 | OPC 4272
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License Number State | FL
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