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General NPI Number Information
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NPI Number | 1699367284
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Entity Type | Organization
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Legal Business Name | THE EYE PROJECT
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 02/05/2021
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Provider Practice Location Address
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Address Line | 2030 S DOUGLAS RD STE 120
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City | CORAL GABLES
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State | FL
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Zip | 33134-4615
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Country | US
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Telephone | 305-910-6892
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 S DOUGLAS RD STE 120
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City | CORAL GABLES
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State | FL
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Zip | 33134-4615
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Country | US
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Telephone | 305-910-6892
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Fax |
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Authorized Official
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Title or Position | OPTICIAN
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Name | MS. VANESSA ARANGO
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Credential | DO 6272
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Telephone | 305-910-6892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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