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General NPI Number Information
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NPI Number | 1588962260
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Entity Type | Individual
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Provider Name | LINDA K HOLCROFT LICENSED OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 03/04/2011
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Provider Practice Location Address
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Address Line | 37398 BERKSHIRE DR STE C
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City | MADERA
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State | CA
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Zip | 93636-8779
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Country | US
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Telephone | 559-645-4700
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Fax | 559-645-4774
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Provider Business Mailing Address
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Address Line | 37398 BERKSHIRE DR STE C
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City | MADERA
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State | CA
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Zip | 93636-8779
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Country | US
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Telephone | 559-645-4700
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Fax | 559-645-4774
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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 | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number | CL926
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | SL2679
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License Number State | CA
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