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General NPI Number Information
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NPI Number | 1487460879
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Entity Type | Organization
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Legal Business Name | ADA & OSH ONLINE ENTERPRISES INC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2280 BARONWOOD DRIVE UNIT 89
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City | OAKVILLE
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State | ONTARIO
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Zip | LGM OK4
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Country | CA
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Telephone | 437-999-5776
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Fax |
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Provider Business Mailing Address
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Address Line | 2280 BARONWOOD DRIVE UNIT 89
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City | OAKVILLE
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State | ONTARIO
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Zip | LGM OK4
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Country | CA
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/DIRECTOR
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Name | DR. ADA DANIELLA IRYMHEKHA
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Credential | O.D.
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Telephone | 437-999-5776
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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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