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General NPI Number Information
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NPI Number | 1376675140
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Entity Type | Organization
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Legal Business Name | CORNEA & REFRACTIVE CONSULTANTS OF THE PALM BEACHES, PA
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 11020 RCA CENTER DR SUITE 2001
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4277
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Country | US
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Telephone | 561-624-7878
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Fax | 561-626-5848
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Provider Business Mailing Address
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Address Line | 11020 RCA CENTER DR SUITE 2001
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4277
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Country | US
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Telephone | 561-624-7878
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Fax | 561-626-5848
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. KEITH KUHR
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Credential |
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Telephone | 561-624-7878
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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 | ME67968
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License Number State | FL
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