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General NPI Number Information
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NPI Number | 1750785853
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Entity Type | Organization
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Legal Business Name | PRAMUKH EYE CARE LLC
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 101 N CATTLEMEN RD
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City | SARASOTA
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State | FL
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Zip | 34243-4700
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Country | US
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Telephone | 941-351-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 7595 TRILLIUM BLVD
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City | SARASOTA
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State | FL
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Zip | 34241-5205
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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 | OWNER
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Name | ANKIT PATEL
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Credential | O.D.
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Telephone | 727-642-4168
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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 | OPC4909
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License Number State | FL
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