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General NPI Number Information
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NPI Number | 1316376593
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Entity Type | Organization
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Legal Business Name | DAVID P TODD OD PC
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 11/07/2013
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Provider Practice Location Address
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Address Line | 565 W 2ND ST UNIT 1
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City | POMONA
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State | CA
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Zip | 91766-1510
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Country | US
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Telephone | 909-764-0100
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Fax | 909-623-9575
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Provider Business Mailing Address
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Address Line | 565 W 2ND ST UNIT 1
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City | POMONA
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State | CA
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Zip | 91766-1510
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Country | US
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Telephone | 909-764-0100
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Fax | 909-623-9575
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Authorized Official
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Title or Position | OWNER
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Name | DAVID TODD
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Credential |
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Telephone | 909-764-0100
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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 |
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License Number State |
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