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General NPI Number Information
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NPI Number | 1255484556
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Entity Type | Individual
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Provider Name | CARRIE W SAITO O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 555 SHOPS AT MISSION VIEJO STE 30 SHOPS AT MISSION VIEJO
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City | MISSION VIEJO
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State | CA
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Zip | 92691
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Country | US
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Telephone | 949-364-4010
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Fax | 949-364-4001
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Provider Business Mailing Address
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Address Line | 1209 VIA DESCANSO
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City | PALOS VERDES ESTATES
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State | CA
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Zip | 90274-1904
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Country | US
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Telephone | 310-544-2808
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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 | 9801T
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License Number State | CA
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