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General NPI Number Information
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NPI Number | 1760736680
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Entity Type | Individual
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Provider Name | JASMEET KAUR MANN O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 1901 MITCHELL RD STE C
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City | CERES
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State | CA
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Zip | 95307
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Country | US
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Telephone | 209-537-8971
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Fax | 209-537-8974
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | CERES
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State | CA
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Zip | 95307-0186
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Country | US
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Telephone | 209-537-8971
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Fax | 209-537-8974
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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 | 14549
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License Number State | CA
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