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General NPI Number Information
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NPI Number | 1972775468
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Entity Type | Organization
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Legal Business Name | STELZER OPTOMETRIC LLC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 6000 INDIAN CREEK DR APT. 1602
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2356
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Country | US
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Telephone | 941-920-2106
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Fax | 305-461-9633
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Provider Business Mailing Address
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Address Line | 6000 INDIAN CREEK DR APT. 1602
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2356
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Country | US
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Telephone | 941-920-2106
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Fax | 305-461-9633
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ADAM LOUIS STELZER
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Credential | O.D.
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Telephone | 941-920-2106
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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 | OPC4244
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License Number State | FL
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