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General NPI Number Information
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NPI Number | 1891068235
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Entity Type | Organization
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Legal Business Name | POSHOPTIQUE,LLC
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 600 SUPERIOR AVE E SUITE 1300
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City | CLEVELAND
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State | OH
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Zip | 44114-2614
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Country | US
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Telephone | 216-338-7701
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Fax | 216-479-6801
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Provider Business Mailing Address
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Address Line | 600 SUPERIOR AVE E SUITE 1300
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City | CLEVELAND
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State | OH
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Zip | 44114-2614
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Country | US
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Telephone | 216-338-7701
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Fax | 216-479-6801
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHAFEEQA HUSSEIN-BEY
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Credential | ABOC,LDO
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Telephone | 216-338-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | S.9857
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License Number State | OH
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