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General NPI Number Information
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NPI Number | 1346060274
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Entity Type | Organization
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Legal Business Name | JUDY C HENNING OPTOMETRY, PC
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 40500 MURRIETA HOT SPRINGS RD
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City | MURRIETA
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State | CA
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Zip | 92563-6403
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Country | US
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Telephone | 951-600-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 39942 RANCHWOOD DR
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City | MURRIETA
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State | CA
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Zip | 92563-5431
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Country | US
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Telephone | 951-265-1023
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JUDY HENNING
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Credential |
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Telephone | 951-265-1023
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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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