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General NPI Number Information
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NPI Number | 1346450624
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Entity Type | Organization
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Legal Business Name | TOTAL OPTOMETRIC CARE INCORPORATED
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2805 COLUMBIA PIKE
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City | ARLINGTON
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State | VA
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Zip | 22204-4411
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Country | US
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Telephone | 703-486-2620
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Fax | 703-486-0208
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Provider Business Mailing Address
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Address Line | 2805 COLUMBIA PIKE
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City | ARLINGTON
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State | VA
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Zip | 22204-4411
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Country | US
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Telephone | 703-486-2620
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Fax | 703-486-0208
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINH THI HOANG-BRALEY
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Credential | O.D.
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Telephone | 703-486-2620
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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 | 0618000389
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License Number State | VA
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