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General NPI Number Information
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NPI Number | 1689928608
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Entity Type | Individual
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Provider Name | LOVEJEET TOOR LICENSED OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 3230 W HACIENDA AVE STE 301
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City | LAS VEGAS
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State | NV
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Zip | 89118-1717
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Country | US
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Telephone | 702-895-9033
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Fax | 702-895-3231
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Provider Business Mailing Address
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Address Line | 3230 W HACIENDA AVE STE 301
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City | LAS VEGAS
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State | NV
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Zip | 89118-1717
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Country | US
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Telephone | 702-895-9033
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Fax | 702-895-3231
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 482
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License Number State | NV
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