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General NPI Number Information
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NPI Number | 1720864200
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Entity Type | Organization
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Legal Business Name | DOYLE & RASTEGAR-LARI, PLLC
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 1485 W WARM SPRINGS RD STE 106
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City | HENDERSON
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State | NV
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Zip | 89014-7632
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Country | US
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Telephone | 702-433-1102
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Fax |
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Provider Business Mailing Address
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Address Line | 346 NEWCASTLE BRIDGE CT
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City | LAS VEGAS
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State | NV
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Zip | 89138-1546
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Country | US
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Telephone | 630-300-4174
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MRS. NAZANIN RASTEGAR-LARI
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Credential |
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Telephone | 773-610-3233
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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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