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General NPI Number Information
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NPI Number | 1518760206
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Entity Type | Organization
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Legal Business Name | ABUAITA EYECARE
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Dates
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Enumeration Date | 03/29/2025
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Last Update Date | 03/29/2025
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Provider Practice Location Address
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Address Line | 27001 US HIGHWAY 19 N STE 2004
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City | CLEARWATER
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State | FL
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Zip | 33761-3421
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Country | US
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Telephone | 727-669-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 2802 MAPLE BROOK LOOP
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City | LUTZ
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State | FL
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Zip | 33558-5050
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Country | US
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Telephone | 813-817-8722
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. DIYA ABUAITA
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Credential | OD
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Telephone | 813-817-8722
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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 |
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License Number State |
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