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General NPI Number Information
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NPI Number | 1285824409
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Entity Type | Individual
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Provider Name | RASHA KUMAR OPTOMETRIST OD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 1695 NORTH ARIZONA BOULEVARD
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City | COOLIDGE
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State | AZ
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Zip | 85228
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Country | US
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Telephone | 520-723-8641
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Fax | 520-723-8643
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Provider Business Mailing Address
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Address Line | 12148 NORTH 134TH WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85259
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Country | US
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Telephone | 480-657-0015
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Fax | 480-657-0019
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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 | 687
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License Number State | AZ
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