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General NPI Number Information
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NPI Number | 1780227215
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Entity Type | Organization
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Legal Business Name | REBECCA LAW, OD, INC.
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 11/20/2023
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Provider Practice Location Address
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Address Line | 7629 MELROSE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90046-7419
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Country | US
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Telephone | 323-401-0661
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Fax |
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Provider Business Mailing Address
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Address Line | 7629 MELROSE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90046-7419
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REBECCA LAW
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Credential |
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Telephone | 323-401-0661
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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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