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General NPI Number Information
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NPI Number | 1174142418
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Entity Type | Individual
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Provider Name | SAHAB ASTANI OD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1851 S KELLY AVE SUITE B
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City | EDMOND
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State | OK
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Zip | 73013
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Country | US
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Telephone | 405-393-2273
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Fax | 405-907-1851
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Provider Business Mailing Address
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Address Line | PO BOX 410108
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City | KANSAS CITY
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State | MO
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Zip | 64141-0108
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Country | US
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Telephone | 405-393-2273
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Fax | 405-607-6685
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3053
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License Number State | OK
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