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General NPI Number Information
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NPI Number | 1285758516
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Entity Type | Organization
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Legal Business Name | HORIZON VISION CENTERS MEDICAL GROUP,INC.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 1851 SUTTER ST STE A
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City | CONCORD
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State | CA
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Zip | 94520-2559
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Country | US
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Telephone | 925-246-7901
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Fax | 925-246-7903
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Provider Business Mailing Address
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Address Line | 1851-A SUTTER STREET
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City | CONCORD
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State | CA
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Zip | 94520
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Country | US
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Telephone | 925-246-7901
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Fax | 925-246-7903
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID BATES III
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Credential |
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Telephone | 510-297-5054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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