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General NPI Number Information
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NPI Number | 1013043124
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Entity Type | Organization
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Legal Business Name | HUEY AND HSIAO OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 08/03/2011
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Provider Practice Location Address
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Address Line | 301 DICKSON HILL RD SUITE B
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City | FAIRFIELD
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State | CA
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Zip | 94533-7203
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Country | US
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Telephone | 707-437-9600
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Fax | 707-421-9331
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Provider Business Mailing Address
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Address Line | 301 DICKSON HILL RD SUITE B
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City | FAIRFIELD
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State | CA
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Zip | 94533-7203
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Country | US
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Telephone | 707-437-9600
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Fax | 707-421-9331
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | LARRY HUEY
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Credential | O.D.
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Telephone | 707-437-9600
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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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