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General NPI Number Information
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NPI Number | 1437066743
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Entity Type | Organization
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Legal Business Name | CALOVARE OPTICAL LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 852 CALLE CAMPECHE ESQ. BUENOS AIRES SUITE #02
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City | PONCE
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State | PR
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Zip | 00717-1672
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Country | US
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Telephone | 787-590-6958
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Fax |
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Provider Business Mailing Address
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Address Line | 852 CALLE CAMPECHE ESQ. BUENOS AIRES SUITE #02
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City | PONCE
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State | PR
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Zip | 00717-1672
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Country | US
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Telephone | 787-590-6958
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Fax |
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Authorized Official
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Title or Position | LIC OPTICIAN
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Name | MS. BELEN M RULLAN SIERRA
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Credential | OPTICIAN
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Telephone | 787-590-6958
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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 |
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License Number State |
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