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General NPI Number Information
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NPI Number | 1366507212
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Entity Type | Individual
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Provider Name | FAIZA DOSSA VIPUL O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 900 BUSH ST 220
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-8714
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Country | US
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Telephone | 415-609-6796
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 4TH ST STE E
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City | BERKELEY
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State | CA
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Zip | 94710-1741
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Country | US
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Telephone | 510-559-8181
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Fax | 510-559-9581
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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 | 12922
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License Number State | CA
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