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General NPI Number Information
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NPI Number | 1598803710
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Entity Type | Organization
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Legal Business Name | OPTI-CITI
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | GARCIA DE LA NOCEDA 4A
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-887-7062
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Fax | 787-887-7062
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Provider Business Mailing Address
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Address Line | PO BOX 2223
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City | RIO GRANDE
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State | PR
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Zip | 00745-2223
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Country | US
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Telephone | 787-887-7062
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Fax | 787-887-7062
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCES D HAINES
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Credential |
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Telephone | 787-887-7062
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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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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 177
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License Number State | PR
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