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General NPI Number Information
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NPI Number | 1932196292
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Entity Type | Individual
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Provider Name | JOHN A PUGLISI MD
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 182 NE 168TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3412
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Country | US
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Telephone | 305-651-4300
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Fax | 305-651-0701
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Provider Business Mailing Address
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Address Line | 182 NE 168TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3412
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Country | US
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Telephone | 305-653-6500
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Fax | 305-651-0701
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME25860
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License Number State | FL
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