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General NPI Number Information
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NPI Number | 1013922665
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Entity Type | Individual
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Provider Name | CARRIE W KUMABE OD
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 3756 SANTA ROSALIA DR SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90008-3606
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Country | US
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Telephone | 323-294-7517
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Fax | 323-294-9219
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Provider Business Mailing Address
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Address Line | 3756 SANTA ROSALIA DR SUITE 100
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City | LOS ANGELES
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State | CA
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Zip | 90008-3606
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Country | US
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Telephone | 323-294-7517
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Fax | 323-294-9219
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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 | 8343T
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License Number State | CA
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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 | 232T
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License Number State | HI
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