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General NPI Number Information
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NPI Number | 1619682291
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Entity Type | Organization
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Legal Business Name | DANA L. GAMPEL, OD, INC.
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 3542 CORAL WAY # 44
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City | MIAMI
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State | FL
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Zip | 33145-3013
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Country | US
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Telephone | 305-441-1717
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Fax | 305-441-0543
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Provider Business Mailing Address
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Address Line | 315 NE 3RD AVE APT 1907
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-1685
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Country | US
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Telephone | 954-647-3193
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA GAMPEL
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Credential | OD
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Telephone | 954-647-3193
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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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