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General NPI Number Information
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NPI Number | 1326513755
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Entity Type | Organization
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Legal Business Name | ADVANCED EYE SURGEONS
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Dates
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Enumeration Date | 10/12/2018
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 9980 CENTRAL PARK BLVD N STE 118
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City | BOCA RATON
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State | FL
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Zip | 33428-1703
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Country | US
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Telephone | 561-617-1345
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Fax |
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Provider Business Mailing Address
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Address Line | 9980 CENTRAL PARK BLVD N STE 118
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City | BOCA RATON
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State | FL
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Zip | 33428-1703
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Country | US
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Telephone | 561-617-1345
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHERYL PAYNE
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Credential | DOO
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Telephone | 954-318-7328
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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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