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General NPI Number Information
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NPI Number | 1497999585
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Entity Type | Organization
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Legal Business Name | BEYER OPTICAL
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/07/2010
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Provider Practice Location Address
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Address Line | 4156 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6116
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Country | US
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Telephone | 727-376-8055
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Fax | 727-376-8425
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Provider Business Mailing Address
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Address Line | 4156 ROWAN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-6116
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Country | US
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Telephone | 727-376-8055
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Fax | 727-376-8425
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LESLIE BEYER
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Credential |
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Telephone | 727-376-8055
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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 | DO2449
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License Number State | FL
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