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General NPI Number Information
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NPI Number | 1780876755
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Entity Type | Organization
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Legal Business Name | ADINA SETREN O.D., P.A.
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 11865 SW 26TH ST
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City | MIAMI
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State | FL
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Zip | 33175-2400
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Country | US
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Telephone | 305-552-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 6535 ALLISON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33141-4508
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Country | US
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Telephone | 786-586-9404
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADINA SETREN GOULD
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Credential | O.D.
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Telephone | 786-586-9404
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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 3743
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License Number State | FL
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