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General NPI Number Information
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NPI Number | 1902629652
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Entity Type | Organization
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Legal Business Name | VARSHA MATHUR OPTOMETRIC PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 3749 S MOONEY BLVD
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City | VISALIA
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State | CA
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Zip | 93277-8000
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Country | US
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Telephone | 559-733-9966
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Fax | 559-318-5775
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Provider Business Mailing Address
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Address Line | 149 E ELKHORN AVE
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City | VISALIA
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State | CA
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Zip | 93277-9172
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Country | US
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Telephone | 909-979-7335
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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. VARSHA MATHUR
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Credential | OD
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Telephone | 909-979-7335
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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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