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General NPI Number Information
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NPI Number | 1104827815
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Entity Type | Organization
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Legal Business Name | DONALD H SPAULDING OD INC
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 944-A WEST FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3757
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Country | US
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Telephone | 909-982-3040
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Fax | 909-982-9840
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Provider Business Mailing Address
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Address Line | 944-A WEST FOOTHILL BLVD
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City | UPLAND
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State | CA
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Zip | 91786-3757
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Country | US
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Telephone | 909-982-3040
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Fax | 909-982-9840
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Authorized Official
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Title or Position | OWNER / OPTOMETRIST
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Name | DONALD HUNTLEY SPAULDING
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Credential | OD
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Telephone | 909-982-3040
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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 | 6810T
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License Number State | CA
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