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General NPI Number Information
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NPI Number | 1992392658
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Entity Type | Organization
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Legal Business Name | CATHERINE CIZMAR, O.D., INC.
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 6309 GREENLEAF AVE
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City | WHITTIER
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State | CA
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Zip | 90601-3536
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Country | US
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Telephone | 562-698-3279
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Fax |
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Provider Business Mailing Address
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Address Line | 6309 GREENLEAF AVE
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City | WHITTIER
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State | CA
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Zip | 90601-3536
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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 | OWNER
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Name | DR. CATHERINE CIZMAR
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Credential | OD
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Telephone | 714-717-9517
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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 |
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License Number State |
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