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General NPI Number Information
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NPI Number | 1598581217
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Entity Type | Organization
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Legal Business Name | AFSANEH AMINI, O.D., A PROFESSIONAL OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1118 W VALLEY PKWY
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City | ESCONDIDO
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State | CA
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Zip | 92025-2559
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Country | US
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Telephone | 619-425-7755
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Fax | 619-425-2138
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Provider Business Mailing Address
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Address Line | 835 3RD AVE STE A
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City | CHULA VISTA
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State | CA
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Zip | 91911-1352
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Country | US
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Telephone | 619-425-7755
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Fax | 619-425-2138
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Authorized Official
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Title or Position | PRESIDENT
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Name | AFSANEH AMINI
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Credential | O.D.
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Telephone | 619-425-7755
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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 |
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License Number State |
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