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General NPI Number Information
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NPI Number | 1740148675
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Entity Type | Individual
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Provider Name | CARLY VISGER
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 525 E MICHELTORENA ST STE A
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City | SANTA BARBARA
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State | CA
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Zip | 93103-4211
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Country | US
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Telephone | 805-963-1648
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SCENIC TERRAIN AVE
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City | HENDERSON
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State | NV
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Zip | 89011-3166
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Country | US
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Telephone | 951-219-7764
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Fax |
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | Y3923997
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License Number State | CA
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