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General NPI Number Information
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NPI Number | 1003528282
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Entity Type | Organization
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Legal Business Name | ELHAM ZARABIAN OD PC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 530 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-4525
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Country | US
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Telephone | 657-391-8473
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-4525
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CASSANDRA BREDEK
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Credential |
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Telephone | 657-391-8473
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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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