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General NPI Number Information
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NPI Number | 1538314877
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Entity Type | Organization
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Legal Business Name | SUSAN BARNETT OD PA
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 552 ARTHUR GODFREY RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3510
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Country | US
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Telephone | 305-534-3634
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Fax |
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Provider Business Mailing Address
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Address Line | 650 WEST AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-5524
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Country | US
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Telephone | 305-695-9355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OPTOMETRIST
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Name | DR. SUSAN BARNETT
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Credential | OD
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Telephone | 305-695-9355
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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 | OPC4295
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License Number State | FL
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