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General NPI Number Information
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NPI Number | 1699639997
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Entity Type | Organization
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Legal Business Name | EYE BOUTIQUE PR LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | A3 CALLE CALIFORNIA
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City | QUEBRADILLAS
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State | PUERTO RICO
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Zip | 00678
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Country | UM
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | A3 CALLE CALIFORNIA
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City | QUEBRADILLAS
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State | PUERTO RICO
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Zip | 00678
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Country | UM
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRA
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Name | DR. ADELA SAAVEDRA CHAVES
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Credential | OD
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Telephone | 787-895-6484
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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 |
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License Number State |
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