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General NPI Number Information
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NPI Number | 1255584678
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Entity Type | Organization
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Legal Business Name | NORMAN A. ROSE, OD,INC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 200
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City | TEMECULA
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State | CA
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Zip | 92590-4857
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Country | US
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Telephone | 760-743-6540
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Fax | 760-743-4164
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Provider Business Mailing Address
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Address Line | 1299 E PENNSYLVANIA AVE SUITE B
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City | ESCONDIDO
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State | CA
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Zip | 92027-3027
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Country | US
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Telephone | 760-743-6540
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Fax | 760-743-4164
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Authorized Official
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Title or Position | CEO
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Name | DR. NORMAN A ROSE
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Credential | O.D.
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Telephone | 760-533-4541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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