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General NPI Number Information
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NPI Number | 1982615969
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Entity Type | Individual
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Provider Name | NORMAN A ROSE OD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 05/25/2020
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 200
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City | TEMECULA
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State | CA
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Zip | 92590-4857
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Country | US
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Telephone | 760-746-0570
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Fax | 760-746-0570
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Provider Business Mailing Address
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Address Line | 2360 BRIARWOOD PL
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City | ESCONDIDO
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State | CA
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Zip | 92026-4005
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Country | US
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Telephone | 760-746-0570
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Fax | 760-746-0570
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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 | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | CA7630TLG
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License Number State | CA
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