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General NPI Number Information
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NPI Number | 1881581635
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Entity Type | Organization
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Legal Business Name | CAMILLE WEISSENBERG OPTOMETRY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 7547 SUNSET AVE
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City | FAIR OAKS
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State | CA
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Zip | 95628-4720
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Country | US
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Telephone | 916-965-1017
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Fax |
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Provider Business Mailing Address
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Address Line | 7547 SUNSET AVE
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City | FAIR OAKS
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State | CA
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Zip | 95628-4720
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Country | US
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Telephone | 916-965-1017
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | CAMILLE RENE WEISSENBERG
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Credential | OD
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Telephone | 916-968-4519
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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 |
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License Number State |
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