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NPI 1003403593

NPI 1003403593 : NARDA SANCHEZ, O.D., INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1003403593
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    Entity Type          |    Organization 
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    Legal Business Name  |    NARDA SANCHEZ, O.D., INC. 
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Dates
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    Enumeration Date     |    12/30/2020
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    Last Update Date     |    12/30/2020
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Provider Practice Location Address
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    Address Line         |    5500 W. SUNSET BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90028
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    Country              |    US
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    Telephone            |    323-462-2816
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    518 1/2 NARANJA DR 
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    City                 |    GLENDALE
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    State                |    CA
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    Zip                  |    91206-3445
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    Country              |    US
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    Telephone            |    619-253-2584
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. NARDA  SANCHEZ 
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    Credential           |    OD
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    Telephone            |    619-253-2584
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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       |    
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    License Number State |    
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