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General NPI Number Information
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NPI Number | 1417416975
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Entity Type | Organization
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Legal Business Name | MIRAMAR EYE CENTER LLC
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 6448 PEMBROKE RD
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City | MIRAMAR
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State | FL
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Zip | 33023-2138
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Country | US
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Telephone | 954-431-2020
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Fax | 954-435-7124
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Provider Business Mailing Address
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Address Line | 6448 PEMBROKE RD
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City | MIRAMAR
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State | FL
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Zip | 33023-2138
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Country | US
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Telephone | 954-431-2020
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Fax | 954-435-7124
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. SALAHUDDIN MASTERS
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Credential | OD
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Telephone | 954-326-0423
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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 |
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License Number State |
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