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General NPI Number Information
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NPI Number | 1205953213
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Entity Type | Organization
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Legal Business Name | MICHAEL F FAURIA OD AND SUSAN M PIRRONE OD A PROFESSIONAL OPTOM
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 194 FRANCISCO LN SUITE 118
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City | FREMONT
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State | CA
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Zip | 94539-8119
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Country | US
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Telephone | 510-490-0287
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Fax | 510-683-8891
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Provider Business Mailing Address
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Address Line | 194 FRANCISCO LN SUITE 118
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City | FREMONT
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State | CA
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Zip | 94539-8119
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Country | US
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Telephone | 510-490-0287
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Fax | 510-683-8891
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DR. MICHAEL FAURIA
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Credential | O.D.
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Telephone | 510-490-0287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 8076-T
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License Number State | CA
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