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General NPI Number Information
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NPI Number | 1952984361
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Entity Type | Organization
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Legal Business Name | A1 OPTICALS
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 3000 DANVILLE BLVD STE H&I
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City | ALAMO
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State | CA
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Zip | 94507-1574
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Country | US
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Telephone | 408-643-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 872 BANDOL WAY
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City | SAN RAMON
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State | CA
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Zip | 94582-4672
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | APURVA PANCHOLI
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Credential |
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Telephone | 408-643-4473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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