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General NPI Number Information
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NPI Number | 1235360207
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Entity Type | Individual
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Provider Name | DANIEL M HARVITT O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 2223 SANTA CLARA AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4469
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Country | US
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Telephone | 510-521-0551
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Fax |
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Provider Business Mailing Address
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Address Line | 29 SYLVAN WAY
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City | PIEDMONT
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State | CA
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Zip | 94610-1052
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Country | US
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Telephone | 510-520-8176
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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 | 11424T
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License Number State | CA
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