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General NPI Number Information
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NPI Number | 1356477152
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Entity Type | Organization
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Legal Business Name | PHILLIP SERRINS OD INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2179 S MOONEY BLVD
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City | VISALIA
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State | CA
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Zip | 93277-6242
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Country | US
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Telephone | 559-732-2291
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Fax | 559-732-6955
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Provider Business Mailing Address
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Address Line | 2179 S MOONEY BLVD
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City | VISALIA
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State | CA
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Zip | 93277-6242
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Country | US
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Telephone | 559-732-2291
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Fax | 559-732-6955
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILLIP SERRINS
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Credential | O.D
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Telephone | 559-732-2291
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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 | 4035 T
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License Number State | CA
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