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General NPI Number Information
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NPI Number | 1902513674
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Entity Type | Organization
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Legal Business Name | JOHN A. KATZAROFF, O.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 8810 TAMPA AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3519
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Country | US
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Telephone | 818-775-5810
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Fax | 818-775-5820
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Provider Business Mailing Address
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Address Line | 8810 TAMPA AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3519
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Country | US
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Telephone | 818-775-5810
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Fax | 818-775-5820
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Authorized Official
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Title or Position | OWNER / OPTOMETRIST
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Name | DR. JOHN ANTHONY KATZAROFF
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Credential | O.D.
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Telephone | 714-420-1133
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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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