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General NPI Number Information
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NPI Number | 1033923602
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Entity Type | Organization
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Legal Business Name | MARIAN MASOUD OD INC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 28000 GREENSPOT RD
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City | HIGHLAND
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State | CA
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Zip | 92346-4450
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Country | US
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Telephone | 562-682-5830
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Fax |
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Provider Business Mailing Address
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Address Line | 6902 E RENDINA ST
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City | LONG BEACH
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State | CA
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Zip | 90815-4826
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Country | US
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Telephone | 562-682-5830
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. MARIAN M MASOUD
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Credential | OD
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Telephone | 562-682-5830
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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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