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General NPI Number Information
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NPI Number | 1437323854
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Entity Type | Organization
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Legal Business Name | SABI ISRAEL & ROBERT F. COLLINS PTR
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 2068 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93536-5913
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Country | US
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Telephone | 661-942-7313
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Fax | 661-948-1264
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Provider Business Mailing Address
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Address Line | 2068 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93536-5913
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Country | US
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Telephone |
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Fax | 661-948-1264
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN ISRAEL
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Credential | OD
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Telephone | 661-742-7313
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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 | 7966 TPL
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License Number State | CA
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