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General NPI Number Information
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NPI Number | 1396897591
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Entity Type | Organization
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Legal Business Name | AFFILIATED EYE SPECIALISTS P A
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 331 N MAITLAND AVE STE B2
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City | MAITLAND
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State | FL
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Zip | 32751-4753
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Country | US
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Telephone | 407-740-0331
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Fax | 407-539-2747
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Provider Business Mailing Address
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Address Line | 331 N MAITLAND AVE STE B2
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City | MAITLAND
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State | FL
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Zip | 32751-4753
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Country | US
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Telephone | 407-740-0331
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Fax | 407-539-2747
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARC FRANKLIN SCHWARTZ
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Credential | MD
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Telephone | 407-740-0331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD0047068
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License Number State | FL
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