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General NPI Number Information
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NPI Number | 1811620875
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Entity Type | Organization
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Legal Business Name | ELHAM ZARABIAN OD PC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 4424 TWEEDY BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-6304
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Country | US
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Telephone | 323-438-3520
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Fax |
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Provider Business Mailing Address
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Address Line | 530 S MAIN ST STE 600
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City | ORANGE
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State | CA
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Zip | 92868-4544
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Country | US
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Telephone | 714-480-3000
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CASANDRA BREDEK
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Credential |
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Telephone | 657-391-8473
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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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