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General NPI Number Information
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NPI Number | 1457824724
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Entity Type | Organization
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Legal Business Name | JASLEEN KAUR LLC
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/09/2019
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Provider Practice Location Address
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Address Line | 14070 CEDAR RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3216
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Country | US
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Telephone | 216-297-9492
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 AVALON RD APT 104
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-3755
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Country | US
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Telephone | 925-326-0747
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JASLEEN KAUR
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Credential | OD
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Telephone | 925-326-0747
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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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