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General NPI Number Information
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NPI Number | 1356930630
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Entity Type | Individual
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Provider Name | MARK NIKAJ O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 06/23/2021
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Provider Practice Location Address
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Address Line | 7917 ABERCORN ST
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City | SAVANNAH
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State | GA
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Zip | 31406-3414
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Country | US
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Telephone | 912-421-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 100 TOWN CENTER DR APT 5306
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City | GARDEN CITY
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State | GA
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Zip | 31405-9566
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Country | US
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Telephone | 562-774-6450
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Fax |
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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 | OPT34786TLG
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT003325
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License Number State | GA
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