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General NPI Number Information
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NPI Number | 1184920183
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Entity Type | Organization
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Legal Business Name | VISION CARE
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 11075 WARNER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4007
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Country | US
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Telephone | 714-249-0986
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Fax | 714-617-9666
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Provider Business Mailing Address
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Address Line | 11075 WARNER AVE
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4007
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Country | US
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Telephone | 714-249-0986
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Fax | 714-617-9666
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Authorized Official
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Title or Position | OWNER
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Name | JAMES TRUONG
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Credential | O.D.
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Telephone | 714-249-0986
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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 | 14137 TLG
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License Number State | CA
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