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General NPI Number Information
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NPI Number | 1174665301
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Entity Type | Individual
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Provider Name | FAHIM M. KABIR O. D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 2545 E BIDWELL ST SUITE 160
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City | FOLSOM
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State | CA
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Zip | 95630-6440
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Country | US
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Telephone | 916-983-0896
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 E MONTE VISTA AVE STE 102
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City | VACAVILLE
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State | CA
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Zip | 95688-3106
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Country | US
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Telephone | 916-903-6876
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Fax |
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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 | 13111T
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License Number State | CA
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