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General NPI Number Information
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NPI Number | 1588208946
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Entity Type | Individual
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Provider Name | NOOR S AL-HASSAN OD
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Gender | Female
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 44407 10TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-3345
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Country | US
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Telephone | 661-942-3849
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Fax |
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Provider Business Mailing Address
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Address Line | 920 W ANGELENO AVE APT C
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City | BURBANK
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State | CA
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Zip | 91506-2264
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Country | US
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Telephone | 419-346-1949
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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 | 34389
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License Number State | CA
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