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General NPI Number Information
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NPI Number | 1558563072
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Entity Type | Organization
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Legal Business Name | HARRY E. ENENSTEIN, O D
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 17310 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-3904
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Country | US
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Telephone | 818-728-6800
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Fax | 818-728-1466
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Provider Business Mailing Address
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Address Line | 17310 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-3904
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Country | US
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Telephone | 818-728-6800
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Fax | 818-728-1466
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Authorized Official
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Title or Position | OWNER
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Name | DR. HARRY E. ENENSTEIN
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Credential | O. D.
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Telephone | 818-728-6800
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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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