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General NPI Number Information
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NPI Number | 1841464658
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Entity Type | Organization
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Legal Business Name | DR SAUL MENDELSOHN OPTOMETRIST A PROFESSIONAL CORP
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 5478 N PALM AVE
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City | FRESNO
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State | CA
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Zip | 93704-1940
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Country | US
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Telephone | 559-447-4990
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Fax | 559-447-4994
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Provider Business Mailing Address
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Address Line | 5478 N PALM AVE
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City | FRESNO
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State | CA
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Zip | 93704-1940
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Country | US
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Telephone | 559-447-4990
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Fax | 559-447-4994
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MR. FREDDIE D MARTINEZ
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Credential |
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Telephone | 808-285-0084
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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 | 4968T
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License Number State | CA
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