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General NPI Number Information
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NPI Number | 1619016607
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Entity Type | Organization
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Legal Business Name | ROBERT H FIER MDPA
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 514 SW PRIMA VISTA BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8734
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Country | US
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Telephone | 772-878-3437
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Fax | 772-878-1298
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Provider Business Mailing Address
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Address Line | 514 SW PRIMA VISTA BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-8734
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Country | US
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Telephone | 772-878-3437
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Fax | 772-878-1298
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT H. FIER
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Credential | M.D.
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Telephone | 772-878-3437
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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 | POC 3339
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME30598
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License Number State | FL
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