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General NPI Number Information
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NPI Number | 1316102387
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Entity Type | Organization
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Legal Business Name | DAVID B. CIMINSKI, O.D.
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 1110 E CHAPMAN AVE SUITE#107
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City | ORANGE
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State | CA
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Zip | 92866-2139
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Country | US
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Telephone | 714-532-4900
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Fax | 714-532-4994
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Provider Business Mailing Address
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Address Line | 1110 E CHAPMAN AVE SUITE#107
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City | ORANGE
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State | CA
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Zip | 92866-2139
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Country | US
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Telephone | 714-532-4900
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Fax | 714-532-4994
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DAVID BARRY CIMINSKI
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Credential | O.D.
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Telephone | 714-532-4900
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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 | 8949
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License Number State | CA
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