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General NPI Number Information
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NPI Number | 1881378974
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Entity Type | Individual
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Provider Name | MISS VANESSA OCAMPO FRANCISCO
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Gender | Female
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 3710 SW US VETERANS HOSPITAL RD
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City | PORTLAND
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State | OR
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Zip | 97239-2964
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Country | US
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Telephone | 503-220-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 121 STONERIDGE LN
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City | SAN FRANCISCO
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State | CA
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Zip | 94134-3175
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Country | US
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Telephone | 415-999-4721
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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 | AT4702
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License Number State | OR
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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 | 35440
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License Number State | CA
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