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NPI 1104896513

NPI 1104896513 : SOPHIE K DAO O.D. : MILPITAS, CA

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General NPI Number Information
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    NPI Number           |    1104896513
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    Entity Type          |    Individual 
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    Provider Name        |    SOPHIE K DAO O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/26/2006
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    Last Update Date     |    11/29/2010
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Provider Practice Location Address
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    Address Line         |    991 MONTAGUE EXPY STE 111 
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    City                 |    MILPITAS
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    State                |    CA
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    Zip                  |    95035-6818
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    Country              |    US
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    Telephone            |    408-262-1221
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    Fax                  |    408-262-0789
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Provider Business Mailing Address
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    Address Line         |    991 MONTAGUE EXPY STE 111 
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    City                 |    MILPITAS
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    State                |    CA
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    Zip                  |    95035-6809
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    Country              |    US
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    Telephone            |    408-262-1221
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    Fax                  |    408-262-0789
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    8213T
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    8213T
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    8213T
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    152WS0006X
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    Taxonomy Name        |    Sports Vision Optometrist
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    License Number       |    8213T
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    152WX0102X
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    Taxonomy Name        |    Occupational Vision Optometrist
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    License Number       |    8213T
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    License Number State |    CA
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Taxonomy #6
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    Taxonomy Code        |    156FC0800X
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    Taxonomy Name        |    Contact Lens Technician/Technologist
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    License Number       |    8213T
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    156FC0801X
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    Taxonomy Name        |    Contact Lens Fitter
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    License Number       |    8213T
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    License Number State |    CA
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