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General NPI Number Information
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NPI Number | 1205424942
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Entity Type | Organization
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Legal Business Name | GURJEET KAILA
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 12/08/2022
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Provider Practice Location Address
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Address Line | 511 E KERN AVE
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City | TULARE
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State | CA
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Zip | 93274-4210
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Country | US
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Telephone | 559-688-0661
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Fax | 559-688-9210
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Provider Business Mailing Address
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Address Line | 511 E KERN AVE
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City | TULARE
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State | CA
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Zip | 93274-4210
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Country | US
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Telephone | 559-688-0661
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Fax | 559-688-9210
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. GURJEET KAILA
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Credential | OPTOMETRY DOCTOR
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Telephone | 559-908-6083
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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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