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General NPI Number Information
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NPI Number | 1851456727
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Entity Type | Individual
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Provider Name | NEGAR GHARIB O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 01/27/2017
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Provider Practice Location Address
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Address Line | 16542 VENTURA BLVD STE 115
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City | ENCINO
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State | CA
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Zip | 91436-2099
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Country | US
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Telephone | 818-399-1564
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Fax |
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Provider Business Mailing Address
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Address Line | 3831 WINFORD DR
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City | TARZANA
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State | CA
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Zip | 91356-5802
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Country | US
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Telephone | 818-788-1719
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Fax | 818-788-4782
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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 | 10934T
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License Number State | CA
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