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General NPI Number Information
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NPI Number | 1699588848
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Entity Type | Organization
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Legal Business Name | CLERMONT EYE INSTITUTE LLC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2400 HOOKS ST
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City | CLERMONT
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State | FL
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Zip | 34711-3514
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Country | US
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Telephone | 561-542-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 HOOKS ST
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City | CLERMONT
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State | FL
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Zip | 34711-3514
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Country | US
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Telephone | 352-717-4080
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Fax | 352-604-1193
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOAH ALIANCY
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Credential | MD
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Telephone | 561-542-1134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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