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General NPI Number Information
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NPI Number | 1780798009
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Entity Type | Organization
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Legal Business Name | BIMMER INC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 2878 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1910
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Country | US
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Telephone | 954-731-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 2878 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1910
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Country | US
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Telephone | 954-731-1220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRETT MARSHALL WEINTRAUB
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Credential | L.D.O.
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Telephone | 954-731-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | FL1904
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License Number State | FL
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