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General NPI Number Information
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NPI Number | 1962854828
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Entity Type | Individual
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Provider Name | JILL LOBINGIER
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Gender | Female
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Dates
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Enumeration Date | 07/04/2016
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Last Update Date | 05/25/2017
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Provider Practice Location Address
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Address Line | 4150 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-1545
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Country | US
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Telephone | 206-962-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 3610 SACRAMENTO ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1734
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Country | US
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Telephone | 206-962-7605
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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 | ODP - 100377
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License Number State | ID
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