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General NPI Number Information
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NPI Number | 1508751223
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Entity Type | Individual
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Provider Name | ESTERINA ELQENI OD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 959 N 14TH ST
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City | LEESBURG
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State | FL
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Zip | 34748-3838
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Country | US
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Telephone | 857-919-8392
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Fax |
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Provider Business Mailing Address
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Address Line | 432 WEBSTER ST
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City | ROCKLAND
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State | MA
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Zip | 02370-1212
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Country | US
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Telephone | 857-919-8392
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6706
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License Number State | FL
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