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General NPI Number Information
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NPI Number | 1750574067
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Entity Type | Organization
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Legal Business Name | STYLE SITE OPTICIANS INC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 1372 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4623
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Country | US
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Telephone | 305-945-3361
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Fax | 305-945-3361
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Provider Business Mailing Address
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Address Line | 1372 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4623
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Country | US
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Telephone | 305-945-3361
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Fax | 305-945-3361
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. STANLEY ELBRAND
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Credential | L.D.O.
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Telephone | 305-945-3361
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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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