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General NPI Number Information
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NPI Number | 1801617196
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Entity Type | Individual
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Provider Name | PAULINE AYAD OD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 1921 E 53RD ST
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City | ANDERSON
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State | IN
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Zip | 46013-3164
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Country | US
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Telephone | 765-649-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 8239 HAMPTON CIR E
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-9348
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Country | US
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Telephone | 317-238-0071
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Fax |
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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 | 18004543A
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License Number State | IN
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