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General NPI Number Information
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NPI Number | 1316491749
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Entity Type | Organization
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Legal Business Name | JUDY C HUANG OPTOMETRY, INC
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Dates
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Enumeration Date | 08/15/2016
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 13005 ARTESIA BLVD A110
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City | CERRITOS
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State | CA
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Zip | 90703-1356
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Country | US
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Telephone | 562-921-9888
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Fax | 562-802-1888
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Provider Business Mailing Address
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Address Line | 13005 ARTESIA BLVD A110
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City | CERRITOS
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State | CA
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Zip | 90703-1356
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Country | US
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Telephone | 562-921-9888
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Fax | 562-802-1888
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Authorized Official
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Title or Position | OWNER/ OPTOMETRIST
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Name | DR. JUDY C HUANG
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Credential | O.D.
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Telephone | 562-924-7600
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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 | OPT12155
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License Number State | CA
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