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General NPI Number Information
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NPI Number | 1821200601
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Entity Type | Organization
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Legal Business Name | SUNSET VISION, INC.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8259 SUNSET STRIP
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City | SUNRISE
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State | FL
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Zip | 33322-3058
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Country | US
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Telephone | 954-572-7954
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Fax | 954-572-9974
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Provider Business Mailing Address
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Address Line | 8259 SUNSET STRIP
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City | SUNRISE
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State | FL
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Zip | 33322-3058
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Country | US
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Telephone | 954-572-7954
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Fax | 954-572-9974
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Authorized Official
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Title or Position | OPTICIAN SOLE OWNER
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Name | BRIAN T CIGALOTTI
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Credential |
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Telephone | 954-572-7954
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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 | DO2372
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License Number State | FL
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