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General NPI Number Information
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NPI Number | 1407820319
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Entity Type | Organization
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Legal Business Name | ANAHEIM EYE MEDICAL GROUP INC
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE STE 201
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City | ANAHEIM
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State | CA
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Zip | 92801-2810
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Country | US
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Telephone | 714-533-3126
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Fax | 714-533-9920
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Provider Business Mailing Address
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Address Line | 1211 W LA PALMA AVE STE 201
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City | ANAHEIM
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State | CA
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Zip | 92801-2810
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Country | US
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Telephone | 714-533-3126
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Fax | 714-533-9920
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN A SCHMIDT
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Credential | MD
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Telephone | 714-533-3126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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