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General NPI Number Information
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NPI Number | 1689858276
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Entity Type | Organization
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Legal Business Name | MARC TESCHER, O.D, P.A.
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 1825 NE 164TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4100
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Country | US
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Telephone | 305-945-7113
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 NE 164TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | MARC TESCHER
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Credential | O.D.
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Telephone | 305-945-7113
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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 | OPC2614
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License Number State | FL
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