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General NPI Number Information
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NPI Number | 1841641222
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Entity Type | Individual
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Provider Name | DAVID ARDAKANI O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3440 DEL LAGO BLVD STE E
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City | ESCONDIDO
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State | CA
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Zip | 92029-7430
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Country | US
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Telephone | 760-431-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 8312 LAKE MURRAY BLVD STE C
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City | SAN DIEGO
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State | CA
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Zip | 92119-3435
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Country | US
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Telephone | 619-464-2076
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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 | OPT33383-TLG
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License Number State | CA
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