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General NPI Number Information
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NPI Number | 1740193127
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Entity Type | Organization
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Legal Business Name | ELOHIM VISION PROVIDER PLLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 4400 W TENNESSEE ST
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City | TALLAHASSEE
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State | FL
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Zip | 32304-1029
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Country | US
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Telephone | 850-509-9234
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Fax |
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Provider Business Mailing Address
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Address Line | 1216 LANDINGS LOOP
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City | TALLAHASSEE
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State | FL
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Zip | 32311-1230
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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 | OPTOMETRIST
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Name | DR. ALBERTO SANCHEZ
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Credential | OD
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Telephone | 850-509-9234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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