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General NPI Number Information
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NPI Number | 1467579169
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Entity Type | Organization
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Legal Business Name | VISION REHABILITATION ASSOCIATES, P.L.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 6618 W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33446-1616
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Country | US
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Telephone | 561-498-5007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 970543
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City | BOCA RATON
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State | FL
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Zip | 33497-0543
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Country | US
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Telephone | 561-271-4962
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Fax |
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Authorized Official
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Title or Position | OWNER, OPTOMETRIST
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Name | DR. LAURA MARIE DEMARCO
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Credential | O.D.
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Telephone | 561-271-4962
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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