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General NPI Number Information
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NPI Number | 1922253731
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Entity Type | Organization
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Legal Business Name | RANGEL EYECARE
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 7810 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6674
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Country | US
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Telephone | 407-532-5154
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MERIDALE AVE
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City | ORLANDO
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State | FL
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Zip | 32803-5525
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Country | US
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Telephone | 407-375-4772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DOCTOR
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Name | DR. DANIEL RANGEL
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Credential | O.D.
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Telephone | 407-375-4772
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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 | OPC 3969
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License Number State | FL
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