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General NPI Number Information
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NPI Number | 1750285904
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Entity Type | Organization
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Legal Business Name | GOLDENBLUEVISION.LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1750 W 39TH PL STE 1003
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City | HIALEAH
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State | FL
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Zip | 33012-7036
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Country | US
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Telephone | 305-490-3816
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Fax |
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Provider Business Mailing Address
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Address Line | 1750 W 39TH PL STE 1003
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City | HIALEAH
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State | FL
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Zip | 33012-7036
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Country | US
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Telephone | 305-490-3816
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CARMEN RODRIGUEZ
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Credential |
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Telephone | 954-864-5276
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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 | NULL
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