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General NPI Number Information
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NPI Number | 1760661383
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Entity Type | Individual
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Provider Name | DR. FERAS B ALBADAWI
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Gender | Male
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 3412 SAN CARLOS TRAIL P.O.BOX: 2144
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City | FRAIZERPARK
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State | CA
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Zip | 93225-2144
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Country | US
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Telephone | 661-204-8716
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Fax | 661-245-3648
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Provider Business Mailing Address
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Address Line | 3412 SAN CARLOS TRAIL P.O.BOX: 2144
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City | FRAIZERPARK
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State | CA
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Zip | 93225-2144
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Country | US
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Telephone | 661-204-8716
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Fax | 661-245-3648
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13433
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License Number State | CA
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