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General NPI Number Information
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NPI Number | 1780447672
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Entity Type | Individual
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Provider Name | PREET TOOR LICENSED OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 3024 W JACK LONDON BLVD # C3
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City | LIVERMORE
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State | CA
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Zip | 94551-7609
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Country | US
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Telephone | 925-800-5149
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Fax | 925-800-5751
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Provider Business Mailing Address
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Address Line | 3024 W JACK LONDON BLVD # C3
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City | LIVERMORE
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State | CA
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Zip | 94551-7609
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Country | US
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Telephone | 602-717-6907
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Fax | 925-800-5751
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 180240-CLD9013
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License Number State | CA
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