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General NPI Number Information
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NPI Number | 1851836761
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Entity Type | Organization
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Legal Business Name | TRUESIGHT EYE CARE PA
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Dates
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Enumeration Date | 12/31/2016
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Last Update Date | 12/31/2016
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Provider Practice Location Address
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Address Line | 5420 FACTORS WALK DR
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City | SANFORD
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State | FL
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Zip | 32771-8526
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Country | US
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Telephone | 407-547-7860
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 FACTORS WALK DR
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City | SANFORD
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State | FL
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Zip | 32771-8526
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Country | US
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Telephone | 407-547-7860
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Fax |
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Authorized Official
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Title or Position | P
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Name | ALIASGHAR JAGANI
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Credential | O.D.
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Telephone | 407-547-7860
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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 | OPC5015
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License Number State | FL
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