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General NPI Number Information
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NPI Number | 1902668478
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Entity Type | Organization
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Legal Business Name | CHRISTOPHE JULIET, OD, INC.
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1515 DANA DR
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City | REDDING
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State | CA
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Zip | 96003-4878
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Country | US
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Telephone | 530-226-0498
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Fax | 530-226-0492
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Provider Business Mailing Address
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Address Line | 3325 PANORAMA DR
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City | REDDING
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State | CA
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Zip | 96003-2218
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Country | US
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Telephone | 858-752-8561
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Fax | 530-226-0492
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Authorized Official
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Title or Position | OFFICER
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Name | CHRISTOPHE JEAN JULIET
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Credential | OD
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Telephone | 858-752-8561
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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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