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General NPI Number Information
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NPI Number | 1154540169
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Entity Type | Organization
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Legal Business Name | INSIGHT OPTOMETRY INC.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 9710 LOWER AZUSA RD
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City | EL MONTE
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State | CA
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Zip | 91731-1024
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Country | US
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Telephone | 626-329-0818
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Fax |
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Provider Business Mailing Address
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Address Line | 9710 LOWER AZUSA RD
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City | EL MONTE
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State | CA
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Zip | 91731-1024
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Country | US
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Telephone | 626-329-0818
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMY WANG
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Credential | O.D.
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Telephone | 626-329-0818
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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 |
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License Number State |
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