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General NPI Number Information
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NPI Number | 1407057805
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Entity Type | Organization
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Legal Business Name | ORBITAL AND OCULO FACIAL CONSULTANTS, PA
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 2088 HAWTHORNE ST
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City | SARASOTA
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State | FL
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Zip | 34239-2307
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Country | US
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Telephone | 941-953-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 2088 HAWTHORNE STREET SUITE #201
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City | SARASOTA
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State | FL
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Zip | 34239-2307
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Country | US
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Telephone | 941-953-5050
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NICHOLAS MONSUL
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Credential |
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Telephone | 941-870-2057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | ME86808
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License Number State | FL
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