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General NPI Number Information
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NPI Number | 1134643265
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Entity Type | Organization
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Legal Business Name | DR. MARGARETTE RECALDE, OD, INC.
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 1111 E. HERNDON AVE. STE 101
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City | FRESNO
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State | CA
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Zip | 93720-3100
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Country | US
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Telephone | 559-432-2200
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Fax | 559-432-2203
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Provider Business Mailing Address
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Address Line | 1111 E HERNDON AVE STE 101
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City | FRESNO
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State | CA
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Zip | 93720-3100
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Country | US
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Telephone | 559-432-2200
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Fax | 559-432-2203
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARGARETTE RECALDE
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Credential |
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Telephone | 559-432-2200
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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 | CA
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