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General NPI Number Information
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NPI Number | 1194032169
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Entity Type | Organization
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Legal Business Name | DR MURRAY TAUBMAN AN OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 12568 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2006
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Country | US
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Telephone | 714-894-3353
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Fax | 714-373-0670
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Provider Business Mailing Address
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Address Line | 12568 VALLEY VIEW ST
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2006
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Country | US
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Telephone | 714-894-3353
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Fax | 714-373-0670
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MURRAY TAUBMAN
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Credential | O.D.
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Telephone | 714-894-3353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 6125T
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License Number State | CA
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