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General NPI Number Information
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NPI Number | 1912632282
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Entity Type | Individual
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Provider Name | SABER J ESLAMINEJAD OD
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Gender | Male
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 550 WILLARD AVE
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City | NEWINGTON
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State | CT
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Zip | 06111-2666
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Country | US
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Telephone | 866-666-6951
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Fax |
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Provider Business Mailing Address
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Address Line | 11511 SHADOW CREEK PKWY
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City | PEARLAND
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State | TX
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Zip | 77584-7298
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Country | US
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Telephone | 713-442-0000
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Fax |
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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 | OPT.0003827
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3274
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10863T
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License Number State | TX
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