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General NPI Number Information
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NPI Number | 1437154283
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Entity Type | Individual
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Provider Name | BRIAN S ARMITAGE O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2005
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 8081 PHILIPS HWY SUITE 9
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7464
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Country | US
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Telephone | 904-739-2050
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Fax | 904-733-3304
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Provider Business Mailing Address
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Address Line | 8081 PHILIPS HWY SUITE 9
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7464
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Country | US
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Telephone | 904-739-2050
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Fax | 904-733-3304
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC 2648
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License Number State | FL
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