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General NPI Number Information
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NPI Number | 1902368053
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Entity Type | Organization
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Legal Business Name | EYE HOPE CLINIC LLC
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Dates
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Enumeration Date | 04/05/2019
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 9655 S DIXIE HWY STE 102
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City | MIAMI
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State | FL
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Zip | 33156-2813
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Country | US
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Telephone | 305-456-7035
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Fax | 786-391-2246
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Provider Business Mailing Address
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Address Line | 13590 SW 82ND AVE
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City | MIAMI
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State | FL
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Zip | 33156-6668
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Country | US
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Telephone | 718-355-0669
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Fax |
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. ZENIA AGUILERA
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Credential | MD
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Telephone | 718-355-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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