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General NPI Number Information
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NPI Number | 1114001419
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Entity Type | Organization
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Legal Business Name | DR. JAY MESSINGER
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 318 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3206
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Country | US
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Telephone | 310-631-3660
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Fax | 310-631-9264
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Provider Business Mailing Address
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Address Line | 3267 CORINTH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90066-1310
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Country | US
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Telephone | 310-631-3660
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Fax | 310-631-9264
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JAY H. MESSINGER
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Credential | O.D.
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Telephone | 310-631-3660
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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 | OPT 5433T
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License Number State | CA
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