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General NPI Number Information
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NPI Number | 1487549366
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Entity Type | Organization
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Legal Business Name | ATTIYAH OPTOMETRY AND VISUAL REHABILITATION, PC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 5237 ARROW HWY
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City | MONTCLAIR
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State | CA
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Zip | 91763-1308
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Country | US
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Telephone | 626-733-7548
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Fax |
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Provider Business Mailing Address
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Address Line | 4738 EMERALD AVE
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City | LA VERNE
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State | CA
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Zip | 91750-2204
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Country | US
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Telephone | 626-733-7548
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN JAY ATTIYAH
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Credential | OD
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Telephone | 626-733-7548
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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