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General NPI Number Information
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NPI Number | 1851555973
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Entity Type | Organization
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Legal Business Name | NAZARIO EYE ASSOCIATES, OD, PA
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 101 HOWLAND BLVD
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City | DELTONA
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State | FL
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Zip | 32738-9200
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Country | US
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Telephone | 407-324-3633
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Fax | 407-328-9370
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Provider Business Mailing Address
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Address Line | 101 HOWLAND BLVD
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City | DELTONA
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State | FL
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Zip | 32738-9200
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Country | US
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Telephone | 407-324-3633
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Fax | 407-328-9370
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CALVIN NAZARIO
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Credential | O.D.
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Telephone | 407-324-3633
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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 | OPC003977
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License Number State | FL
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