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General NPI Number Information
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NPI Number | 1649323965
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Entity Type | Organization
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Legal Business Name | ADVANCED EYE CARE OF SOUTH FLORIDA
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 1800 W HILLSBORO BLVD SUITE 204
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1484
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Country | US
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Telephone | 954-421-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 W HILLSBORO BLVD SUITE 204
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1484
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Country | US
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Telephone | 954-421-8000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. TATIANA LEE-CHEE
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Credential | D.O.
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Telephone | 954-421-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS 8824
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License Number State | FL
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