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General NPI Number Information
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NPI Number | 1366676686
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Entity Type | Organization
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Legal Business Name | EYE SPECIALIST
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 11/13/2013
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Provider Practice Location Address
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Address Line | URB. VILLA REAL MARGINAL AK1
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-858-2624
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Fax | 787-858-2624
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Provider Business Mailing Address
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Address Line | URB. VILLA REAL MARGINAL AK1 CALLE 5A
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-858-2624
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Fax | 787-858-2624
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Authorized Official
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Title or Position | OWNER
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Name | DR. HECTOR L. SANCHEZ
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Credential | O.D.
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Telephone | 787-858-2624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 138
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License Number State | PR
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