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General NPI Number Information
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NPI Number | 1598185662
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Entity Type | Individual
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Provider Name | GERALDINE SLEAN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 10/22/2022
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Provider Practice Location Address
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Address Line | 3553 WHIPPLE RD BLDG B
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City | UNION CITY
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State | CA
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Zip | 94587-1507
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Country | US
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Telephone | 510-675-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 110 QUINTAS LN
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City | MORAGA
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State | CA
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Zip | 94556-1631
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Country | US
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Telephone | 908-938-8849
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A141033
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License Number State | CA
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