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General NPI Number Information
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NPI Number | 1851679716
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Entity Type | Individual
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Provider Name | JASMINE ARDESHIR HAMID O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 9236 CYPRESS COVE DR
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City | ORLANDO
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State | FL
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Zip | 32819-4813
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Country | US
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Telephone | 73-769-5364
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 MANHATTAN BEACH BLVD APT A
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-5249
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Country | US
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Telephone | 407-376-9536
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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 | OPC5026
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV007709
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14144
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License Number State | CA
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