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General NPI Number Information
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NPI Number | 1174169767
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Entity Type | Organization
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Legal Business Name | ZUNIGA OPTICAL, INC
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 11/19/2019
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Provider Practice Location Address
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Address Line | 770 MAIN ST
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City | NAPA
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State | CA
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Zip | 94559-3381
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Country | US
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Telephone | 707-332-0507
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6614
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City | NAPA
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State | CA
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Zip | 94581-1614
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Country | US
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Telephone | 707-332-0507
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Fax |
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Authorized Official
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Title or Position | REGISTER DISPENSING OPTICIAN
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Name | MARIA ESTHER ZUNIGA VAZQUEZ
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Credential | ABOC/RDO
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Telephone | 707-332-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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