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General NPI Number Information
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NPI Number | 1609242692
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Entity Type | Organization
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Legal Business Name | PAYAM ZAREHBIN
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 3301 E 12TH ST SUITE 109
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City | OAKLAND
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State | CA
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Zip | 94601-3424
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Country | US
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Telephone | 510-533-6567
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Fax | 510-533-6566
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Provider Business Mailing Address
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Address Line | 3301 E 12TH ST SUITE 109
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City | OAKLAND
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State | CA
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Zip | 94601-3424
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Country | US
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Telephone | 510-533-6567
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Fax | 510-533-6566
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. GENESTA ZAREHBIN
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Credential |
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Telephone | 510-292-9067
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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 | OPT 11992 TLG
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License Number State | CA
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