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General NPI Number Information
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NPI Number | 1821445511
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Entity Type | Organization
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Legal Business Name | CARE VISION OPTIQUE INC.
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Dates
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Enumeration Date | 05/23/2016
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Last Update Date | 05/23/2016
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Provider Practice Location Address
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Address Line | 6357 N FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33487-3249
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Country | US
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Telephone | 561-706-4091
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Fax |
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Provider Business Mailing Address
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Address Line | 6357 N FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33487-3249
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/ PRESIDENT
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Name | NATHALIE BATAILLE
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Credential | O.D.
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Telephone | 561-706-4091
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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 3319
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License Number State | FL
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