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General NPI Number Information
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NPI Number | 1386998920
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Entity Type | Organization
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Legal Business Name | MEDICAL ARTS INC.
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 6250 DOLPHIN DR FL 33158
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City | CORAL GABLES
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State | FL
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Zip | 33158-1845
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Country | US
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Telephone | 305-494-9321
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Fax | 786-349-4190
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Provider Business Mailing Address
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Address Line | 6250 DOLPHIN DR FL 33158
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City | CORAL GABLES
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State | FL
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Zip | 33158-1845
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Country | US
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Telephone | 305-494-9321
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Fax | 786-349-4190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GUY M YOUNG
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Credential | O.D.
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Telephone | 305-248-5004
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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 | OPC3765
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License Number State | FL
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