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General NPI Number Information
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NPI Number | 1083122279
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Entity Type | Organization
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Legal Business Name | THE MOBILEYES FOUNDATION
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 13790 COCHISE RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-6002
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Country | US
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Telephone | 951-816-7338
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Fax |
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Provider Business Mailing Address
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Address Line | 13790 COCHISE RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-6002
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Country | US
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Telephone | 951-816-7338
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO, FOUNDER
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Name | DR. MATTHEW R. ULIBARRI
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Credential | OD
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Telephone | 951-837-5357
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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 | 13883
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License Number State | CA
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