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General NPI Number Information
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NPI Number | 1689633174
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Entity Type | Organization
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Legal Business Name | DONALD T NEGRI OD INC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1329 8TH ST
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City | SANGER
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State | CA
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Zip | 93657
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Country | US
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Telephone | 559-875-5524
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Fax | 559-875-9377
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Provider Business Mailing Address
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Address Line | 1329 8TH ST
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City | SANGER
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State | CA
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Zip | 93657
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Country | US
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Telephone | 559-875-5524
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Fax | 559-875-9377
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Authorized Official
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Title or Position | BUSINESS MGR CORP SEC
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Name | MRS. WENDY ANN NEGRI
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Credential |
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Telephone | 559-875-5524
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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 | OPT3950TPL
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License Number State | CA
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