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General NPI Number Information
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NPI Number | 1033122957
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Entity Type | Organization
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Legal Business Name | CLARITY EYE GROUP
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 19671 BEACH BLVD SUITE 400
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-5901
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Country | US
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Telephone | 714-842-0651
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Fax | 714-848-7826
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Provider Business Mailing Address
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Address Line | PO BOX 102407
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City | PASADENA
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State | CA
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Zip | 91189-2407
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Country | US
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Telephone | 714-842-0651
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Fax | 714-848-7826
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTOINE K FAHD
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Credential | M.D.
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Telephone | 714-842-0651
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A61148
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License Number State | CA
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