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General NPI Number Information
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NPI Number | 1861396210
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Entity Type | Organization
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Legal Business Name | PANACHE EYE CARE
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 14 PLESSEN
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City | FREDERIKSTED
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State | VI
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Zip | 00840-4621
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Country | US
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Telephone | 407-361-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 4168 JUDITHS FANCY
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City | CHRISTIANSTED
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State | VI
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Zip | 00820
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Country | US
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Telephone | 407-361-6688
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | YOLANDA JARVIS
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Credential |
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Telephone | 407-361-6688
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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 | NULL
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Taxonomy #2
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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 | NULL
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