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General NPI Number Information
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NPI Number | 1346596806
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Entity Type | Organization
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Legal Business Name | A&S OPTICAL, PSC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 250 CALLE CRUZ ORTIZ STELLA STE 11
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City | HUMACAO
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State | PR
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Zip | 00791-4144
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Country | US
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Telephone | 939-428-1140
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Fax | 877-496-5503
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Provider Business Mailing Address
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Address Line | 250 CALLE CRUZ ORTIZ STELLA STE 11
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City | HUMACAO
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State | PR
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Zip | 00791-4144
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Country | US
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Telephone | 939-428-1140
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Fax | 877-496-5503
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ILIANA ALVARADO
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Credential | O.D.
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Telephone | 787-367-6238
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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 | 650
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 674
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License Number State | PR
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