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General NPI Number Information
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NPI Number | 1912089798
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Entity Type | Individual
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Provider Name | LORENA BEJAR OD
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Gender | Female
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1050 SCARLET OAK ST
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City | HOLLYWOOD
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State | FL
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Zip | 33019-4810
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Country | US
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Telephone | 954-609-2977
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 SCARLET OAK ST
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City | HOLLYWOOD
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State | FL
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Zip | 33019-4810
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Country | US
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Telephone | 954-609-2977
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3684
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License Number State | FL
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