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General NPI Number Information
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NPI Number | 1942652706
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Entity Type | Individual
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Provider Name | SAHBA FAKHRA O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 330 S RAMPART BLVD STE 360
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City | LAS VEGAS
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State | NV
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Zip | 89145-5754
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Country | US
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Telephone | 702-724-2020
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Fax | 702-724-2800
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Provider Business Mailing Address
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Address Line | 5840 W. CRAIG RD. STE. 120 PMB 254
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City | LAS VEGAS
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State | NV
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Zip | 89130
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Country | US
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Telephone | 702-724-2020
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Fax | 702-724-2800
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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 | 913
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License Number State | NV
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