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General NPI Number Information
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NPI Number | 1619590924
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Entity Type | Individual
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Provider Name | AKIRTA KOUR SRAN OD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 541 W BACON ST
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City | POTTSVILLE
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State | PA
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Zip | 17901-3917
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Country | US
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Telephone | 570-628-3937
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Fax | 570-622-2795
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Provider Business Mailing Address
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Address Line | 5233 22 STREET
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City | LLOYDMINSTER
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State | ALBERTA
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Zip | T9V3G4
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Country | CA
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003721
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License Number State | PA
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