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General NPI Number Information
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NPI Number | 1407925563
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Entity Type | Organization
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Legal Business Name | NORTH RIDGE OPTICAL, INC.
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 5601 N DIXIE HWY STE 115
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4144
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Country | US
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Telephone | 954-771-9889
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Fax | 954-776-5959
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Provider Business Mailing Address
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Address Line | 5601 N DIXIE HWY STE 115
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4144
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Country | US
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Telephone | 954-771-9889
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Fax | 954-776-5959
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Authorized Official
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Title or Position | OPTICIAN
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Name | MR. SALVATORE SCIARRINO
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Credential | D.O.
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Telephone | 954-771-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO 4651
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License Number State | FL
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