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General NPI Number Information
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NPI Number | 1164685194
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Entity Type | Individual
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Provider Name | BRIAN R YAP O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 2700 COLORADO BLVD STE 239
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City | LOS ANGELES
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State | CA
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Zip | 90041-1048
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Country | US
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Telephone | 323-258-2020
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Fax | 888-769-4820
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Provider Business Mailing Address
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Address Line | 3354 THORNDALE RD
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City | PASADENA
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State | CA
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Zip | 91107-4636
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Country | US
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Telephone | 323-605-2063
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Fax | 888-769-4820
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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 | 13481
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007498
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 001797
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License Number State | AZ
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