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General NPI Number Information
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NPI Number | 1578549259
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Entity Type | Organization
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Legal Business Name | WORLD OPTICAL II INC
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Dates
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Enumeration Date | 12/15/2005
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 8828 W STATE ROAD 84
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City | DAVIE
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State | FL
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Zip | 33324-4415
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Country | US
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Telephone | 954-916-8484
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Fax | 954-476-2668
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Provider Business Mailing Address
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Address Line | 8828 W STATE ROAD 84
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City | DAVIE
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State | FL
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Zip | 33324-4415
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Country | US
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Telephone | 954-916-8484
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Fax | 954-476-2668
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUSK S HARRIS
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Credential | OD
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Telephone | 954-916-8484
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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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