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General NPI Number Information
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NPI Number | 1437458049
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Entity Type | Organization
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Legal Business Name | DR GARY D ENKER PA
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Dates
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Enumeration Date | 03/22/2011
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Last Update Date | 05/05/2011
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Provider Practice Location Address
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Address Line | 6215 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1903
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Country | US
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Telephone | 954-491-7141
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Fax | 954-491-7164
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Provider Business Mailing Address
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Address Line | 6215 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1903
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Country | US
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Telephone | 954-491-7141
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Fax | 954-491-7164
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Authorized Official
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Title or Position | OD / OWNER
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Name | DR. GARY ENKER
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Credential |
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Telephone | 954-491-7141
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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 | 2511
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License Number State | FL
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