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General NPI Number Information
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NPI Number | 1316955461
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Entity Type | Individual
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Provider Name | JEAN CHARLES ERRAMOUSPE O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 5164 MEADOWOOD MALL CIR. F-109
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City | RENO
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State | NV
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Zip | 89502
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Country | US
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Telephone | 775-825-1707
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Fax | 775-825-1984
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Provider Business Mailing Address
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Address Line | PO BOX 19164
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-825-1707
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Fax | 775-825-1984
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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 | 561
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License Number State | NV
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