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General NPI Number Information
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NPI Number | 1346388949
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Entity Type | Individual
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Provider Name | BENLY SZE CHUNG OPTICAN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 755 FRANKLIN ST # I-B
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City | OAKLAND
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State | CA
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Zip | 94607-3931
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Country | US
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Telephone | 510-268-1388
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Fax | 510-268-0619
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Provider Business Mailing Address
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Address Line | 755 FRANKLIN ST # I-B
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City | OAKLAND
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State | CA
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Zip | 94607-3931
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Country | US
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Telephone | 510-268-1388
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Fax | 510-268-0619
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | D 006417
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License Number State | CA
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