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General NPI Number Information
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NPI Number | 1508242462
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Entity Type | Organization
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Legal Business Name | AGRAMONTE OPTOMETRY INC
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 22100 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33428-4218
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Country | US
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Telephone | 561-558-9927
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Fax |
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Provider Business Mailing Address
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Address Line | 15015 MICHELANGELO BLVD APARTMENT 104
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City | DELRAY BEACH
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State | FL
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Zip | 33446-2869
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELISSA AGRAMONTE
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Credential | O.D.
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Telephone | 321-693-1330
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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 | OPC 4934
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License Number State | FL
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