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General NPI Number Information
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NPI Number | 1366586869
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Entity Type | Organization
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Legal Business Name | DR STEVEN YUEN OPTOMETRIC INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 7330 CLAIREMONT MESA BLVD STE #105
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City | SAN DIEGO
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State | CA
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Zip | 92111-1124
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Country | US
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Telephone | 858-292-4498
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Fax |
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Provider Business Mailing Address
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Address Line | 7330 CLAIREMONT MESA BLVD STE #105
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City | SAN DIEGO
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State | CA
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Zip | 92111-1124
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Country | US
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Telephone | 858-292-4498
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Fax | 858-292-0967
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. STEVEN YUEN
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Credential | O.D.
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Telephone | 858-292-4498
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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 | FNP2617
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License Number State | CA
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