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General NPI Number Information
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NPI Number | 1306517230
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Entity Type | Individual
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Provider Name | LANI MAY AQUINO CENTENO OD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 228 DEL MONTE CTR
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City | MONTEREY
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State | CA
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Zip | 93940-6130
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Country | US
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Telephone | 831-375-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 SAINT HELENA ST
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City | SEASIDE
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State | CA
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Zip | 93955-3984
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Country | US
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Telephone | 831-521-8812
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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 | 34953
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License Number State | CA
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