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General NPI Number Information
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NPI Number | 1164175212
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Entity Type | Organization
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Legal Business Name | HARDEEP KATARIA OD OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 01/29/2022
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Provider Practice Location Address
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Address Line | 20165 RINALDI ST STE 150
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City | PORTER RANCH
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State | CA
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Zip | 91326-4933
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Country | US
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Telephone | 407-739-2955
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Fax |
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Provider Business Mailing Address
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Address Line | 6039 PROMONTORY LN APT 234
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City | VENTURA
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State | CA
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Zip | 93003-6872
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Country | US
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Telephone | 407-739-2955
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARDEEP KAUR KATARIA
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Credential | OD
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Telephone | 407-739-2955
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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 |
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