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General NPI Number Information
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NPI Number | 1285115659
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Entity Type | Individual
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Provider Name | FAIZA JAVED O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 10400 SAN JOSE BLVD STE 6
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6360
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Country | US
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Telephone | 904-880-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 11005 CASTLEMAIN CIR E
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City | JACKSONVILLE
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State | FL
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Zip | 32256-2894
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Country | US
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Telephone | 331-223-2817
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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 | 046.011242
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC5826
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License Number State | FL
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