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General NPI Number Information
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NPI Number | 1689697724
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Entity Type | Individual
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Provider Name | NAVDEEP GILL OD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5620 W THUNDERBIRD RD STE B1
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City | GLENDALE
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State | AZ
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Zip | 85306-4638
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Country | US
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Telephone | 480-994-5012
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Fax | 480-994-9479
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Provider Business Mailing Address
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Address Line | 2111 E HIGHLAND AVE STE 240
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City | PHOENIX
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State | AZ
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Zip | 85016-4794
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Country | US
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Telephone | 480-994-5012
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Fax | 602-942-2667
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4533
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License Number State | MA
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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 | 1663
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License Number State | AZ
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