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General NPI Number Information
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NPI Number | 1538360359
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Entity Type | Individual
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Provider Name | JULIETTE N. LE O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1858 MAIN ST
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City | WATSONVILLE
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State | CA
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Zip | 95076-3092
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Country | US
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Telephone | 831-724-2258
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Fax |
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Provider Business Mailing Address
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Address Line | 17800 RIVERBEND RD
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City | SALINAS
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State | CA
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Zip | 93908-1426
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Country | US
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Telephone |
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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 | 10707T
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License Number State | CA
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