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General NPI Number Information
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NPI Number | 1023133576
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Entity Type | Organization
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Legal Business Name | JULIE ANN CLAVERIA, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 23792 ROCKFIELD BLVD STE 240
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City | LAKE FOREST
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State | CA
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Zip | 92630-2830
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Country | US
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Telephone | 949-951-8391
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Fax | 949-951-1831
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Provider Business Mailing Address
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Address Line | 23792 ROCKFIELD BLVD STE 240
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City | LAKE FOREST
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State | CA
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Zip | 92630-2830
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Country | US
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Telephone | 949-951-8391
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Fax | 949-951-1831
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Authorized Official
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Title or Position | FRONT OFFICE RECEPTIONIST
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Name | MS. NAOMI ELIZABETH RENEE VILSMEYER
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Credential |
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Telephone | 949-951-8391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G69550
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License Number State | CA
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