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NPI 1790824134

NPI 1790824134 : ROBERT H FIER MDPA : STUART, FL

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General NPI Number Information
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    NPI Number           |    1790824134
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT H FIER MDPA 
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Dates
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    Enumeration Date     |    02/05/2007
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    Last Update Date     |    03/17/2009
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Provider Practice Location Address
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    Address Line         |    1441 EAST OCEAN BOULEVARD 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34996-2613
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    Country              |    US
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    Telephone            |    772-286-0007
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    Fax                  |    772-283-5467
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Provider Business Mailing Address
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    Address Line         |    1441 EAST OCEAN BOULEVARD 
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    City                 |    STUART
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    State                |    FL
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    Zip                  |    34996-2613
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    Country              |    US
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    Telephone            |    772-286-0007
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    Fax                  |    772-283-5467
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. ROBERT H. FIER 
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    Credential           |    M.D.
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    Telephone            |    772-286-0007
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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 3339
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    ME30598
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    License Number State |    FL
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