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General NPI Number Information
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NPI Number | 1457431603
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Entity Type | Individual
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Provider Name | MAGGIE REYES TOTH O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 4319 E COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32803-5217
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Country | US
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Telephone | 407-894-4553
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Fax | 407-228-2260
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Provider Business Mailing Address
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Address Line | 11224 MOONSHINE CREEK CIR.
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City | ORLANDO
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State | FL
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Zip | 32825
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Country | US
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Telephone | 407-963-5973
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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 | OPC3981
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License Number State | FL
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