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General NPI Number Information
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NPI Number | 1427928183
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Entity Type | Organization
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Legal Business Name | BAGGA OPTOMETRY LLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 360 HARBISON BLVD # 52
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City | COLUMBIA
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State | SC
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Zip | 29212-2248
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Country | US
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Telephone | 803-732-6230
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Fax |
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. DINIKA BAGGA
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Credential | OD
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Telephone | 949-637-3543
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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 |
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