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General NPI Number Information
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NPI Number | 1437329778
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Entity Type | Organization
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Legal Business Name | INVERRARY OPTICAL INC.
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 2000 N FEDERAL HWY STE 100
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1022
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Country | US
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Telephone | 954-942-7717
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Fax | 954-942-2248
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Provider Business Mailing Address
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Address Line | 2000 N FEDERAL HWY STE 100
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City | POMPANO BEACH
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State | FL
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Zip | 33062-1022
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Country | US
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Telephone | 954-942-7717
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Fax | 954-942-2248
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Authorized Official
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Title or Position | OWNER
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Name | MR. LAWRENCE M GOULD SR.
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Credential | OPTICIAN
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Telephone | 954-942-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1489
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License Number State | FL
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