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General NPI Number Information
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NPI Number | 1376722074
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Entity Type | Organization
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Legal Business Name | FRANKLIN AND REX AN OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 5856 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-4522
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Country | US
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Telephone | 323-934-2020
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Fax | 323-933-9395
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Provider Business Mailing Address
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Address Line | 5856 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-4522
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Country | US
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Telephone | 323-934-2020
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Fax | 323-933-9395
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN REX
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Credential | O.D.
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Telephone | 818-621-9867
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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 | 4906TPA
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License Number State | CA
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