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General NPI Number Information
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NPI Number | 1124271697
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Entity Type | Organization
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Legal Business Name | PARAMOUNT FAMILY VISION CENTER
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 14905 PARAMOUNT BLVD UNIT # E
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City | PARAMOUNT
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State | CA
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Zip | 90723-3440
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Country | US
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Telephone | 562-633-6046
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Fax | 562-633-0260
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Provider Business Mailing Address
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Address Line | 14905 PARAMOUNT BLVD UNIT # E
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City | PARAMOUNT
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State | CA
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Zip | 90723-3440
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Country | US
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Telephone | 562-633-6046
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Fax | 562-633-0260
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW R LIM
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Credential | O.D.
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Telephone | 562-633-6046
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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 | OPT8777T
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License Number State | CA
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