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General NPI Number Information
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NPI Number | 1942350632
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Entity Type | Organization
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Legal Business Name | EVERYTHING OPTICAL INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 4800 W HILLSBORO BLVD A16
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4330
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Country | US
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Telephone | 954-429-3238
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Fax | 954-421-3937
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Provider Business Mailing Address
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Address Line | 4800 W HILLSBORO BLVD A16
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4330
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Country | US
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Telephone | 954-429-3238
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Fax | 954-421-3937
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. CRAIG LICHTNER
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Credential | OPTICIAN
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Telephone | 954-429-3238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO
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License Number State | FL
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