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General NPI Number Information
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NPI Number | 1770574683
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Entity Type | Organization
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Legal Business Name | JOANNE KUNDL OD PA II
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 10521 N KENDALL DR SUITE E 103
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City | MIAMI
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State | FL
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Zip | 33176-1554
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Country | US
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Telephone | 305-279-2212
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Fax | 305-279-3746
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Provider Business Mailing Address
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Address Line | 10521 N KENDALL DR STE E103
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City | MIAMI
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State | FL
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Zip | 33176-1554
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Country | US
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Telephone | 305-279-2212
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Fax | 305-279-3746
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOANNE KUNDL
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Credential | OD
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Telephone | 305-279-2212
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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 | 00001665
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License Number State | MA
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