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General NPI Number Information
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NPI Number | 1851675524
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Entity Type | Individual
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Provider Name | ROBERT EMMETT REGO O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 13140 S TAMIAMI TRL
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City | OSPREY
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State | FL
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Zip | 34229-3801
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Country | US
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Telephone | 941-248-0235
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Fax | 941-248-0245
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Provider Business Mailing Address
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Address Line | 12190 LONGVIEW LAKE CIR
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City | BRADENTON
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State | FL
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Zip | 34211-5000
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Country | US
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Telephone | 954-651-7228
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OPC4660
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License Number State | FL
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