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General NPI Number Information
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NPI Number | 1215134036
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Entity Type | Organization
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Legal Business Name | CELESTE A. PAZ, OD
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3100 MOWRY AVE SUITE 106
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City | FREMONT
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State | CA
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Zip | 94538-1509
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Country | US
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Telephone | 510-713-2040
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Fax | 510-713-7737
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Provider Business Mailing Address
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Address Line | 3100 MOWRY AVE SUITE 106
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City | FREMONT
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State | CA
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Zip | 94538-1509
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Country | US
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Telephone | 510-713-2040
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Fax | 510-713-7737
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Authorized Official
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Title or Position | OWNER
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Name | DR. CELESTE ARROYO PAZ
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Credential | O.D..
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Telephone | 510-713-2040
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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 | OPT 7752 TPL
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License Number State | CA
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