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General NPI Number Information
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NPI Number | 1639360373
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Entity Type | Organization
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Legal Business Name | SPECTROPTICS INC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 3654 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-2413
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Country | US
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Telephone | 352-378-3261
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Fax | 352-378-1915
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Provider Business Mailing Address
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Address Line | 3654 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32608-2413
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Country | US
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Telephone | 352-378-3261
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Fax | 352-378-1915
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Authorized Official
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Title or Position | VP
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Name | MR. THOMAS GILBERT BROWN
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Credential | BOARD CERT. OPTICIAN
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Telephone | 352-378-3261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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