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General NPI Number Information
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NPI Number | 1861881047
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Entity Type | Organization
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Legal Business Name | EYEZ OPTOMETRY
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Dates
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Enumeration Date | 01/12/2015
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 333 E MAGNOLIA BLVD SUITE 101
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City | BURBANK
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State | CA
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Zip | 91502-1153
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Country | US
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Telephone | 818-543-6080
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E MAGNOLIA BLVD SUITE 101
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City | BURBANK
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State | CA
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Zip | 91502-1153
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ELLA HAROOTOONIAN
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Credential | O.D.
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Telephone | 818-914-1224
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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 | 10851
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License Number State | CA
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