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General NPI Number Information
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NPI Number | 1407043532
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Entity Type | Organization
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Legal Business Name | A.B.SEE OPTICAL
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 8488 W 3RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-4112
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Country | US
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Telephone | 310-666-9702
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Fax | 323-951-0694
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Provider Business Mailing Address
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Address Line | 8488 W 3RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-4112
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Country | US
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Telephone | 310-666-9702
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Fax | 323-951-0694
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID VADIM MIRETSKY
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Credential |
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Telephone | 323-933-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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