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General NPI Number Information
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NPI Number | 1851957112
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Entity Type | Organization
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Legal Business Name | DELRAY EYE ASSOCIATES PA
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 16201 S MILITARY TRL
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6503
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Country | US
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Telephone | 561-498-8100
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Fax | 561-498-8188
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Provider Business Mailing Address
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Address Line | 16201 S MILITARY TRL
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6503
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Country | US
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Telephone | 561-498-8100
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Fax | 561-498-8188
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE L NEAL
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Credential |
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Telephone | 469-214-0144
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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