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General NPI Number Information
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NPI Number | 1225448913
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Entity Type | Organization
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Legal Business Name | DAVID R. KING, O.D., INC.
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 1046 WHITLEY AVE
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City | CORCORAN
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State | CA
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Zip | 93212-2324
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Country | US
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Telephone | 559-992-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 HIGH ST STE I 2020 HIGH STREET STE. I
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City | SELMA
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State | CA
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Zip | 93662-3518
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Country | US
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Telephone | 559-896-3937
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MONICA CAUDILLO
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Credential |
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Telephone | 559-896-3937
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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 | 10350TPLG
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License Number State | CA
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