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NPI 1811960479

NPI 1811960479 : DIGAETANO CATARACT SERVICES PA : DAYTONA BEACH, FL

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General NPI Number Information
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    NPI Number           |    1811960479
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    Entity Type          |    Organization 
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    Legal Business Name  |    DIGAETANO CATARACT SERVICES PA 
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Dates
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    Enumeration Date     |    02/13/2006
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    Last Update Date     |    01/25/2013
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Provider Practice Location Address
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    Address Line         |    505 HEALTH BLVD 
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    City                 |    DAYTONA BEACH
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    State                |    FL
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    Zip                  |    32114-1493
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    Country              |    US
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    Telephone            |    386-255-5050
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    Fax                  |    386-255-5029
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Provider Business Mailing Address
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    Address Line         |    505 HEALTH BLVD 
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    City                 |    DAYTONA BEACH
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    State                |    FL
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    Zip                  |    32114-1493
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    Country              |    US
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    Telephone            |    386-255-5050
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    Fax                  |    386-255-5029
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Authorized Official
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    Title or Position    |    PHYSICIAN OWNER
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    Name                 |    DR. MARGARET  DIGAETANO 
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    Credential           |    MD
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    Telephone            |    386-255-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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