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General NPI Number Information
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NPI Number | 1427351964
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Entity Type | Individual
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Provider Name | ALMA GABRIELA REGNAULT O.D
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Gender | Female
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4577 WESTON RD
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City | WESTON
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State | FL
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Zip | 33331-3141
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Country | US
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Telephone | 954-217-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 18244 NW 21ST ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3707
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Country | US
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Telephone | 954-647-2357
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 27OA00629200
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License Number State | NJ
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