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General NPI Number Information
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NPI Number | 1992153944
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Entity Type | Organization
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Legal Business Name | UNIQUE OPTICAL INC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | CALLE 18 N34 TOA ALTA HEIGHTS
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-462-5062
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Fax |
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Provider Business Mailing Address
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Address Line | TOA ALTA HEIGHTS CALLE 18 N-34
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-231-4433
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Fax | 787-925-1171
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Authorized Official
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Title or Position | OWNER
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Name | PABLO MORALES
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Credential |
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Telephone | 787-462-5062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | PR
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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 |
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License Number State |
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