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General NPI Number Information
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NPI Number | 1598374225
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Entity Type | Individual
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Provider Name | MAYA M ROBAIR OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 01/08/2023
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Provider Practice Location Address
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Address Line | 2601 N HULLEN ST STE 206
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City | METAIRIE
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State | LA
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Zip | 70002-5939
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Country | US
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Telephone | 504-931-2113
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 FRONT ST
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City | SLIDELL
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State | LA
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Zip | 70458-2724
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Country | US
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Telephone | 985-326-8232
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 241337
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License Number State | LA
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