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General NPI Number Information
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NPI Number | 1225218944
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Entity Type | Organization
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Legal Business Name | INTERNATIONAL OPTOMETRY INC
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 600 INTERNATIONAL BLVD SUITE 101
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City | OAKLAND
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State | CA
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Zip | 94606-2993
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Country | US
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Telephone | 510-832-0908
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Fax | 510-832-0907
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Provider Business Mailing Address
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Address Line | 600 INTERNATIONAL BLVD SUITE 101
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City | OAKLAND
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State | CA
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Zip | 94606-2993
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Country | US
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Telephone | 510-832-0908
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Fax | 510-832-0907
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TUONG-VI HOANG LE
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Credential | DOCTOR OF OPTOMETRY
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Telephone | 510-832-0908
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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 | 12323T
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License Number State | CA
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