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General NPI Number Information
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NPI Number | 1942037965
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Entity Type | Organization
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Legal Business Name | QUAD EYES VISION CARE, LLC.
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Dates
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Enumeration Date | 09/14/2024
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Last Update Date | 09/14/2024
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Provider Practice Location Address
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Address Line | 11619 DARYL CARTER PKWY
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City | ORLANDO
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State | FL
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Zip | 32821-4000
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Country | US
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Telephone | 321-329-3529
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Fax |
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Provider Business Mailing Address
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Address Line | 1731 REFLECTION LN
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City | SAINT CLOUD
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State | FL
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Zip | 34771-7554
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUSRA QUADRI
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Credential | O.D.
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Telephone | 954-559-7941
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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 |
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License Number State |
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