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General NPI Number Information
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NPI Number | 1467496562
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Entity Type | Organization
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Legal Business Name | CORAL SPRINGS OPHTHALMOLOGY ASSOCIATES PA
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 7886 WEST SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4710
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Country | US
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Telephone | 954-752-6465
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Fax | 954-752-6591
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Provider Business Mailing Address
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Address Line | 7886 WEST SAMPLE RD
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4710
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Country | US
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Telephone | 954-752-6465
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Fax | 954-752-6591
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. DONALD R WOODS
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Credential | MD
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Telephone | 954-752-6465
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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 |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | FL
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