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General NPI Number Information
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NPI Number | 1386261964
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Entity Type | Individual
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Provider Name | HARJAS S AULAKH OD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2020
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 5004 141 AVENUE NW
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City | EDMONTON
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State | ALBERTA
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Zip | T5A4R5
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Country | CA
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Telephone | 780-220-3530
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Fax |
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Provider Business Mailing Address
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Address Line | 3549 SILVERSIDE RD # E403
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City | WILMINGTON
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State | DE
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Zip | 19810-4922
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Country | US
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Telephone | 724-579-6134
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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 | TPOP104
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License Number State | FL
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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 | TUV009690
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003704
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License Number State | PA
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