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General NPI Number Information
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NPI Number | 1386815850
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Entity Type | Organization
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Legal Business Name | ANN K. MCPHERRAN, O.D.
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 5911 ALMOND ST
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City | PARADISE
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State | CA
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Zip | 95969-4508
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Country | US
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Telephone | 530-872-1376
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Fax | 530-872-3340
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Provider Business Mailing Address
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Address Line | PO BOX 886
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City | PARADISE
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State | CA
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Zip | 95967-0886
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Country | US
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Telephone | 530-872-1376
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Fax | 530-872-3340
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Authorized Official
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Title or Position | DOCTOR OF OPTOMETRY
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Name | DR. ANN K. MCPHERRAN
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Credential | O.D.
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Telephone | 530-872-1376
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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 | OPT 9048 TPA
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License Number State | CA
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