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General NPI Number Information
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NPI Number | 1982821039
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Entity Type | Individual
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Provider Name | TARA KAY TOZER O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1101 RINEHART RD
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City | SANFORD
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State | FL
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Zip | 32771-7390
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Country | US
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Telephone | 407-302-8708
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Fax | 407-302-8217
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Provider Business Mailing Address
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Address Line | 740 TIGRIS LN
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City | LAKE MARY
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State | FL
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Zip | 32746-5804
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Country | US
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Telephone | 407-322-8324
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Fax | 407-322-8324
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC3860
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT11636T
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License Number State | CA
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