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General NPI Number Information
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NPI Number | 1033463302
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Entity Type | Organization
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Legal Business Name | GARY O. LAI, O.D. AND SHARON K. HO, O.D., PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/07/2012
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Last Update Date | 07/25/2018
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Provider Practice Location Address
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Address Line | 214 S B ST
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City | SAN MATEO
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State | CA
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Zip | 94401
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Country | US
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Telephone | 650-343-2080
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Fax | 650-343-2049
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Provider Business Mailing Address
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Address Line | 214 S B ST
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City | SAN MATEO
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State | CA
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Zip | 94401-4018
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Country | US
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Telephone | 650-343-2080
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Fax | 650-343-2049
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. SHARON K HO
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Credential | O.D.
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Telephone | 650-343-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 10705T
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License Number State | CA
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