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General NPI Number Information
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NPI Number | 1538180153
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Entity Type | Individual
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Provider Name | ELENA KRON ECT.
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 865 3RD AVE #121
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City | CHULA VISTA
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State | CA
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Zip | 91911-1300
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Country | US
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Telephone | 619-427-2289
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Fax | 619-426-3427
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Provider Business Mailing Address
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Address Line | 5091 VIA PLAYA LOS SANTOS
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City | SAN DIEGO
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State | CA
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Zip | 92124-1554
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Country | US
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Telephone | 858-277-3509
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Fax | 619-278-9615
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL1219
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License Number State | CA
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