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General NPI Number Information
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NPI Number | 1912034844
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Entity Type | Individual
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Provider Name | KIMBERLY B PLATTNER OD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 5990 SANTO RD
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City | SAN DIEGO
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State | CA
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Zip | 92124-1192
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Country | US
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Telephone | 858-571-8835
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Fax | 858-571-6364
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Provider Business Mailing Address
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Address Line | PO BOX 1457
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-1457
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Country | US
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Telephone | 619-742-3937
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Fax | 858-756-2804
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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 | 9399TPG
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License Number State | CA
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