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General NPI Number Information
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NPI Number | 1114267432
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Entity Type | Organization
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Legal Business Name | SIGHT OPTOMETRY PC
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 369 CASTRO ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1205
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Country | US
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Telephone | 650-938-3698
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Fax | 650-938-3699
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Provider Business Mailing Address
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Address Line | 369 CASTRO ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1205
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Country | US
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Telephone | 650-938-3698
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Fax | 650-938-3699
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. CANDACE Y KUO
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Credential | OD
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Telephone | 650-938-3698
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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 | 11679T
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License Number State | CA
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