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General NPI Number Information
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NPI Number | 1952454712
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Entity Type | Individual
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Provider Name | DAVID LEONARD MELTZER O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1350 TRAVIS BLVD SOLANO MALL
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City | FAIRFIELD
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State | CA
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Zip | 94533-4646
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Country | US
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Telephone | 707-423-9380
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Fax | 707-423-9393
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Provider Business Mailing Address
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Address Line | 2003 BLUESAGE CT
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City | SANTA ROSA
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State | CA
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Zip | 95403-1785
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Country | US
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Telephone | 707-568-6001
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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 | OPT7009
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License Number State | CA
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