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General NPI Number Information
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NPI Number | 1093791188
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Entity Type | Organization
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Legal Business Name | CONTRA COSTA EYE MEDICAL CENTER INC
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2222 EAST ST STE 365
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City | CONCORD
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State | CA
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Zip | 94520-2056
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Country | US
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Telephone | 925-687-8280
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Fax | 925-687-9744
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Provider Business Mailing Address
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Address Line | 2222 EAST ST STE 365
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City | CONCORD
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State | CA
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Zip | 94520-2056
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Country | US
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Telephone | 925-687-8280
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Fax | 925-687-9744
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. NADINE AXEXANDRA KINDY-DEGNAN
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Credential | MD
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Telephone | 925-687-8280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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