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General NPI Number Information
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NPI Number | 1841939667
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Entity Type | Individual
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Provider Name | SIMRAN TOOR OD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 12/07/2022
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Provider Practice Location Address
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Address Line | 400 YAUGER WAY SW STE A
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City | OLYMPIA
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State | WA
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Zip | 98502-8140
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Country | US
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Telephone | 360-491-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 SOUTH MAIN ST.
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City | PENTICTON
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State | BC
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Zip | V2A 5J4
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Country | CA
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Telephone |
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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 | 61313665
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License Number State | WA
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