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General NPI Number Information
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NPI Number | 1780033571
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Entity Type | Organization
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Legal Business Name | VEOVEO OPTIKA, LLC
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | LOCAL 130 B 18400 STATE ROAD NUMERO 3 SUITE 505
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 954-544-8878
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Fax |
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Provider Business Mailing Address
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Address Line | 138 AVENIDA WINSTON CHURCHUS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 954-544-8878
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Fax |
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Authorized Official
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Title or Position | DRA
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Name | DR. LIZZETTE M IRIZARRY
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Credential |
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Telephone | 954-544-8878
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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 | 00386
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License Number State | PR
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