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NPI 1275833162

NPI 1275833162 : LAURA INGER OD : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1275833162
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA INGER OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2010
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    Last Update Date     |    01/03/2022
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Provider Practice Location Address
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    Address Line         |    100 BATTERY ST LENSCRAFTERS
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94111-4903
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    Country              |    US
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    Telephone            |    415-399-1473
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6424 CALIFORNIA ST APT 3 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94121-2691
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    Country              |    US
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    Telephone            |    
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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       |    14014
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    License Number State |    CA
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