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General NPI Number Information
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NPI Number | 1558777508
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Entity Type | Individual
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Provider Name | REEMA CHOKSHI O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 11201 BENTON ST BLDG 29
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City | LOMA LINDA
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State | CA
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Zip | 92357-0001
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 11201 BENTON ST BLDG 29
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City | LOMA LINDA
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State | CA
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Zip | 92357-1000
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Country | US
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Telephone | 909-825-7084
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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 | 1990
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15409-TLG
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 15409-TLG
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 15409-TLG
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License Number State | CA
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