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General NPI Number Information
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NPI Number | 1265589329
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Entity Type | Individual
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Provider Name | SHERRI S AZIMI O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/08/2011
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Provider Practice Location Address
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Address Line | 27972 CABOT RD
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1211
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Country | US
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Telephone | 949-347-1919
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Fax | 949-347-8871
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Provider Business Mailing Address
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Address Line | PO BOX 2423
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City | DEL MAR
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State | CA
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Zip | 92014-1723
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Country | US
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Telephone | 858-344-5430
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Fax | 760-436-1230
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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 | 10574
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License Number State | CA
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