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General NPI Number Information
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NPI Number | 1356530638
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Entity Type | Organization
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Legal Business Name | GARY L. ENGLUND, OD, APC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 2231 BAYVIEW HEIGHTS DR
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City | LOS OSOS
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State | CA
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Zip | 93402-3900
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Country | US
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Telephone | 805-528-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 2238 BAYVIEW HEIGHTS DR STE E
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City | LOS OSOS
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State | CA
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Zip | 93402-3932
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Country | US
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Telephone | 805-528-5333
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DIANA ALVISO
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Credential |
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Telephone | 805-238-1001
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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 | CA
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