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General NPI Number Information
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NPI Number | 1437904778
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Entity Type | Individual
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Provider Name | AIMON HAZARI OD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 3975 LAWRENCEVILLE HWY NW
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City | LILBURN
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State | GA
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Zip | 30047-2817
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Country | US
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Telephone | 770-923-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 BUFORD HWY APT 2222
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City | SUWANEE
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State | GA
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Zip | 30024-7797
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Country | US
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Telephone | 201-815-1651
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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 | OPT003586
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License Number State | GA
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