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General NPI Number Information
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NPI Number | 1568081875
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Entity Type | Organization
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Legal Business Name | ADRIAZOLA EYE GROUP
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 5786 SW 8TH ST
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City | WEST MIAMI
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State | FL
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Zip | 33144-5034
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Country | US
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Telephone | 305-262-7273
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Fax | 305-262-8228
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Provider Business Mailing Address
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Address Line | 9733 SW 157TH CT
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City | MIAMI
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State | FL
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Zip | 33196-6138
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Country | US
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Telephone | 305-467-4087
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED PERSON
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Name | DR. SHIRLEY ADRIAZOLA
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Credential | OD
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Telephone | 305-467-4087
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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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