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General NPI Number Information
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NPI Number | 1801519624
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Entity Type | Organization
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Legal Business Name | POWER OF SIGHT FOUNDATION
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 39123 COCOBOLA CT
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City | PALMDALE
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State | CA
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Zip | 93551-6035
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Country | US
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Telephone | 661-878-6334
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Fax |
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Provider Business Mailing Address
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Address Line | 39123 COCOBOLA CT
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City | PALMDALE
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State | CA
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Zip | 93551-6035
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Country | US
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Telephone | 661-878-6334
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ CEO
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Name | GIANNY CARDENAS
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Credential |
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Telephone | 661-878-6334
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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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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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