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General NPI Number Information
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NPI Number | 1992980692
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Entity Type | Organization
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Legal Business Name | RICHARD PADRON OD PA
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Dates
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Enumeration Date | 01/01/2008
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 2200 SW 16TH ST SUITE 204
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City | MIAMI
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State | FL
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Zip | 33145-2067
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Country | US
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Telephone | 305-860-6760
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 SW 16TH ST STE 204
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City | MIAMI
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State | FL
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Zip | 33145-2062
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Country | US
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Telephone | 305-860-6760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD PADRON
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Credential | O.D.
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Telephone | 305-793-6058
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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 | OB 3148
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License Number State | FL
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