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General NPI Number Information
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NPI Number | 1033300561
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Entity Type | Organization
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Legal Business Name | MARK O. PRICE, O.D.
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 11/07/2011
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Provider Practice Location Address
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Address Line | 812 W OAK AVE
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City | VISALIA
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State | CA
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Zip | 93291-6034
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Country | US
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Telephone | 559-732-0778
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Fax | 559-732-5049
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Provider Business Mailing Address
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Address Line | PO BOX 247
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City | VISALIA
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State | CA
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Zip | 93279-0247
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Country | US
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Telephone | 559-732-0778
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Fax | 559-732-5049
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARK O PRICE
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Credential | O.D.
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Telephone | 559-732-0778
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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 | 7034
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License Number State | CA
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