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General NPI Number Information
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NPI Number | 1518339407
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Entity Type | Organization
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Legal Business Name | KESSELMAN EYE CARE INC
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Dates
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Enumeration Date | 10/30/2015
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Last Update Date | 10/30/2015
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Provider Practice Location Address
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Address Line | 14711 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-1213
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Country | US
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Telephone | 305-998-9950
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Fax | 305-998-9955
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Provider Business Mailing Address
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Address Line | 16900 N BAY RD APT 609
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4252
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Country | US
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Telephone | 305-998-9950
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Fax | 305-998-9955
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH A KESSELMAN
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Credential | O.D.
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Telephone | 305-998-9950
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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 | OPC4993
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License Number State | FL
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