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General NPI Number Information
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NPI Number | 1750821765
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Entity Type | Organization
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Legal Business Name | JOEMIE VISION CARE INC
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Dates
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Enumeration Date | 02/24/2017
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 12187 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32837-6502
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Country | US
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Telephone | 408-334-2073
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Fax |
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Provider Business Mailing Address
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Address Line | 12187 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32837-6502
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Country | US
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Telephone | 408-334-2073
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE QUEMAI LE
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Credential | OD
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Telephone | 408-334-2073
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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 | OPC 4991
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC 5234
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License Number State | FL
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