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General NPI Number Information
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NPI Number | 1245402049
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Entity Type | Organization
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Legal Business Name | RONALD M SINGER OD AN OPTOMETRIC CO
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 22330 SHERMAN WAY SUITE 15
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City | CANOGA PARK
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State | CA
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Zip | 91303-1056
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Country | US
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Telephone | 818-992-4400
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Fax | 818-587-2433
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Provider Business Mailing Address
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Address Line | 22330 SHERMAN WAY SUITE 15
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City | CANOGA PARK
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State | CA
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Zip | 91303-1056
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Country | US
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Telephone | 818-992-4400
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Fax | 818-587-2433
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD M SINGER
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Credential | O.D.
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Telephone | 818-992-4400
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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 | 6808T
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License Number State | CA
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