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General NPI Number Information
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NPI Number | 1083718100
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Entity Type | Organization
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Legal Business Name | SOCIETY FOR THE BLIND
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 1238 S ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-7112
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Country | US
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Telephone | 916-452-8271
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Fax | 916-492-2487
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Provider Business Mailing Address
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Address Line | 1238 S ST
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City | SACRAMENTO
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State | CA
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Zip | 95811-7112
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Country | US
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Telephone | 916-452-8271
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Fax | 916-492-2487
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Authorized Official
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Title or Position | DIRECTOR OF CLINIC SERVICES
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Name | PENNY RILEY
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Credential |
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Telephone | 916-452-8271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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