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General NPI Number Information
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NPI Number | 1720707367
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Entity Type | Organization
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Legal Business Name | RAMY SABA O.D. CORPORATION
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 12721 MORENO BEACH DR
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City | MORENO VALLEY
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State | CA
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Zip | 92555-4411
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Country | US
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Telephone | 909-631-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 COLLETT AVE UNIT 303
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City | CORONA
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State | CA
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Zip | 92879-8630
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | RAMY SABA
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Credential | O.D.
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Telephone | 909-631-3261
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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 |
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