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General NPI Number Information
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NPI Number | 1578573903
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Entity Type | Individual
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Provider Name | ROBERT R PRADO OD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 01/07/2019
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Provider Practice Location Address
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Address Line | 612 S HUNT CLUB BLVD
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City | APOPKA
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State | FL
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Zip | 32703-4958
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Country | US
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Telephone | 407-862-2020
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Fax | 407-862-6730
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Provider Business Mailing Address
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Address Line | 107 CAMDEN RD
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2644
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Country | US
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Telephone | 321-279-6885
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Fax | 407-862-6730
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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 | OPC2408
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License Number State | FL
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