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General NPI Number Information
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NPI Number | 1265898373
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Entity Type | Organization
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Legal Business Name | JOSHI AND JEN OPTOMETRISTS, INC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 4825 HOPYARD RD SUITE F-1
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City | PLEASANTON
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State | CA
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Zip | 94588-2772
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Country | US
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Telephone | 925-227-0400
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Fax | 925-227-0730
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Provider Business Mailing Address
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Address Line | 4825 HOPYARD RD SUITE F-1
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City | PLEASANTON
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State | CA
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Zip | 94588-2772
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Country | US
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Telephone | 925-227-0400
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Fax | 925-227-0730
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Authorized Official
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Title or Position | OWNER/PARTNER, OPTOMETRIST
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Name | DR. KETUL JOSHI
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Credential | O.D.
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Telephone | 415-902-1867
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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 | 12154TLG
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License Number State | CA
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