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General NPI Number Information
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NPI Number | 1629523154
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Entity Type | Organization
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Legal Business Name | AUBURN EYE CARE ASSOCIATES
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 601 AUBURN FOLSOM RD STE A
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City | AUBURN
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State | CA
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Zip | 95603-5623
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Country | US
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Telephone | 530-823-2015
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Fax | 530-823-2017
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Provider Business Mailing Address
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Address Line | 3211 FORTUNE CT STE A
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City | AUBURN
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State | CA
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Zip | 95602-9245
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Country | US
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Telephone | 530-885-6241
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Fax | 530-885-0144
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL A BELAJIC
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Credential | OD
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Telephone | 530-885-6241
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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 | CA
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