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General NPI Number Information
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NPI Number | 1255292140
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Entity Type | Organization
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Legal Business Name | RAMNEEK MANGAT OPTOMETRY PC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 336 EL CAMINO REAL
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City | SAN CARLOS
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State | CA
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Zip | 94070-2408
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Country | US
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Telephone | 650-592-1820
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Fax | 650-592-2520
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Provider Business Mailing Address
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Address Line | 2976 SAN JOSE VINEYARD PL UNIT 1
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City | SAN JOSE
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State | CA
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Zip | 95136-5014
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Country | US
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Telephone | 847-532-8507
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMNEEK MANGAT
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Credential | OD
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Telephone | 847-532-8507
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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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