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General NPI Number Information
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NPI Number | 1073624300
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Entity Type | Organization
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Legal Business Name | DANIEL R DELGADO, OD, PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 613 E GRAND AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4402
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Country | US
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Telephone | 760-743-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 613 E GRAND AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4402
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Country | US
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Telephone | 760-743-4616
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. DANIEL DELGADO
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Credential | O.D.
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Telephone | 760-743-4616
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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 | 7173T
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License Number State | CA
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