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General NPI Number Information
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NPI Number | 1710173844
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Entity Type | Organization
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Legal Business Name | C. TROY ALLRED, O.D., INC.
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 07/17/2019
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Provider Practice Location Address
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Address Line | 1601 E CHAPMAN AVE
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City | FULLERTON
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State | CA
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Zip | 92831
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Country | US
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Telephone | 714-526-5515
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Fax | 714-526-5384
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Provider Business Mailing Address
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Address Line | 1601 E CHAPMAN AVE
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City | FULLERTON
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State | CA
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Zip | 92831-4015
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Country | US
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Telephone | 714-526-5515
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Fax | 714-526-5384
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER TROY ALLRED
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Credential | O.D
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Telephone | 714-526-5515
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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 | OPT7319
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License Number State | CA
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