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General NPI Number Information
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NPI Number | 1679398614
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Entity Type | Organization
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Legal Business Name | DRS AIRALA LASER & CATARACT INSTITUTE PA
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 2050 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4902
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Country | US
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Telephone | 305-442-0066
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Fax | 305-445-6896
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Provider Business Mailing Address
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Address Line | 2441 SW 37TH AVE
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City | MIAMI
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State | FL
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Zip | 33145-3051
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Country | US
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Telephone | 786-546-4654
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ILIANA MARIA HERNANDEZ
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Credential |
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Telephone | 786-546-4654
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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 |
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License Number State |
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