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General NPI Number Information
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NPI Number | 1932314473
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Entity Type | Organization
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Legal Business Name | FLORENCE OPHTHALMOLOGY LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 646 COX CREEK PKWY STE A
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City | FLORENCE
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State | AL
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Zip | 35630-1189
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Country | US
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Telephone | 256-760-1771
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Fax | 256-766-4713
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Provider Business Mailing Address
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Address Line | 646 COX CREEK PKWY STE A
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City | FLORENCE
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State | AL
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Zip | 35630-1105
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Country | US
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Telephone | 256-760-9149
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Fax | 256-760-9149
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Authorized Official
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Title or Position | CMO
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Name | DR. JOSEPH GIRA
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Credential | MD
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Telephone | 314-909-0633
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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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