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General NPI Number Information
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NPI Number | 1609855089
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Entity Type | Individual
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Provider Name | JAVIER A PEREZ MD, FACS
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Gender | Male
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 10815 DYLAN LOREN CIR
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City | ORLANDO
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State | FL
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Zip | 32825-4441
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Country | US
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Telephone | 407-966-3770
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Fax | 407-930-1550
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Provider Business Mailing Address
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Address Line | 10815 DYLAN LOREN CIR
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City | ORLANDO
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State | FL
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Zip | 32825-4441
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Country | US
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Telephone | 407-966-3770
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Fax | 407-930-1550
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | ME111422
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License Number State | FL
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