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General NPI Number Information
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NPI Number | 1164680211
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Entity Type | Organization
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Legal Business Name | DR JAMES W ALMARAZ O D INC
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 41340 BIG BEAR BLVD
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City | BIG BEAR LAKE
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State | CA
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Zip | 92315-2820
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Country | US
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Telephone | 909-866-5701
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Fax | 909-866-2155
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Provider Business Mailing Address
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Address Line | PO BOX 2820
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City | BIG BEAR LAKE
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State | CA
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Zip | 92315-2820
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Country | US
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Telephone | 909-866-5701
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Fax | 909-866-2155
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES W ALMARAZ
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Credential | OD
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Telephone | 909-866-5701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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