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General NPI Number Information
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NPI Number | 1275804452
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Entity Type | Organization
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Legal Business Name | BOB YIP, OD & ASSOCIATES, PA
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Dates
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Enumeration Date | 01/20/2012
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 741 N ALAFAYA TRL
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City | ORLANDO
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State | FL
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Zip | 32828-7047
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Country | US
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Telephone | 407-737-8686
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Fax | 407-659-1694
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Provider Business Mailing Address
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Address Line | 604 W PALM VALLEY DR
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City | OVIEDO
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State | FL
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Zip | 32765-9215
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Country | US
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Telephone | 407-221-9502
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Fax | 407-658-1694
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Authorized Official
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Title or Position | OWNER
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Name | DR. BOBBY YEE YIP
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Credential | O.D.
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Telephone | 407-221-9502
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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 | OPC2888
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License Number State | FL
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