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NPI 1548729270

NPI 1548729270 : FRATTO OPTOMETRY INC. : FAIRFIELD, CA

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General NPI Number Information
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    NPI Number           |    1548729270
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRATTO OPTOMETRY INC. 
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Dates
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    Enumeration Date     |    03/12/2019
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    Last Update Date     |    03/12/2019
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Provider Practice Location Address
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    Address Line         |    1350 TRAVIS BLVD UNIT 1418A 
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    City                 |    FAIRFIELD
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    State                |    CA
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    Zip                  |    94533-3432
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    Country              |    US
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    Telephone            |    707-423-9380
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    Fax                  |    707-423-9393
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Provider Business Mailing Address
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    Address Line         |    2036 SCALLY CT 
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    City                 |    CONCORD
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    State                |    CA
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    Zip                  |    94518-3000
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    Country              |    US
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    Telephone            |    925-768-4929
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ROZANNE M FRATTO 
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    Credential           |    OD
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    Telephone            |    925-768-4929
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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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