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General NPI Number Information
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NPI Number | 1912449638
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Entity Type | Organization
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Legal Business Name | NEW VUE OPTICAL LLC
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 1161 NE 154TH TER
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5840
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Country | US
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Telephone | 786-325-5984
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 NE 154TH TER
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5840
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Country | US
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Telephone | 786-325-5984
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NADIALITHA MILIEN
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Credential |
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Telephone | 786-325-5984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | DO5161
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License Number State | FL
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