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General NPI Number Information
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NPI Number | 1770693079
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Entity Type | Organization
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Legal Business Name | SHAJIDA ESPAT REICH & ASSOCIATES PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 55 E STEWART AVE STE B
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City | MEDFORD
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State | OR
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Zip | 97501-7944
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Country | US
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Telephone | 541-779-9851
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Fax | 541-779-9853
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | MURPHY
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State | OR
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Zip | 97533-0152
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Country | US
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Telephone | 541-779-9851
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Fax | 541-779-9853
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. MARIA-SHAJIDA ESPAT - REICH
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Credential | O.D.
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Telephone | 541-779-9851
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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 | 2640AT
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License Number State | OR
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