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General NPI Number Information
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NPI Number | 1568445187
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Entity Type | Individual
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Provider Name | ROBIN GELLER SHORROCK O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 211 S FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5322
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Country | US
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Telephone | 954-786-1030
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Fax | 954-786-8282
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Provider Business Mailing Address
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Address Line | 211 S FEDERAL HWY
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5322
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Country | US
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Telephone | 954-786-1030
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Fax | 954-786-8282
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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 | FLC1864
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License Number State | FL
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