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General NPI Number Information
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NPI Number | 1073117016
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Entity Type | Individual
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Provider Name | NAILA SABREENA RANA
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 330 INLAND SHOPPING CENTER
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City | SAN BERNARDINO
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State | CA
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Zip | 92408
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Country | US
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Telephone | 909-381-7661
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 S OASIS PASEO UNIT 34
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City | ONTARIO
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State | CA
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Zip | 91761-2765
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Country | US
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Telephone | 559-916-5471
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Fax |
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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 | 34739
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License Number State | CA
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