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General NPI Number Information
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NPI Number | 1487962437
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Entity Type | Organization
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Legal Business Name | ABB/CON-CISE OPTICAL GROUP LLC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 12301 NW 39TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2403
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Country | US
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Telephone | 954-733-2300
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Fax | 954-735-4386
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Provider Business Mailing Address
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Address Line | 12301 NW 39TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2403
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Country | US
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Telephone | 954-733-2300
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Fax | 954-735-4386
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Authorized Official
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Title or Position | ASST. CONTROLLER
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Name | MR. MICHAEL KLEIN
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Credential | CPA
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Telephone | 954-733-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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