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General NPI Number Information
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NPI Number | 1316008956
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Entity Type | Individual
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Provider Name | DORI D LOPEZ OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 14449 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3012
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Country | US
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Telephone | 818-894-9582
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Fax | 818-894-0391
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Provider Business Mailing Address
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Address Line | 14449 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3012
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Country | US
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Telephone | 818-894-9582
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Fax | 818-894-0391
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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 | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | CL 664
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL 2069
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License Number State | CA
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