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General NPI Number Information
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NPI Number | 1437125523
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Entity Type | Individual
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Provider Name | CHRISTINE J.J. CHAO O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 1970 LAKE BLVD STE 7
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City | DAVIS
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State | CA
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Zip | 95616-5663
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Country | US
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Telephone | 530-756-9393
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Fax | 530-756-9398
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Provider Business Mailing Address
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Address Line | 1970 LAKE BLVD STE 7
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City | DAVIS
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State | CA
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Zip | 95616-5663
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Country | US
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Telephone | 530-756-9393
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Fax | 530-756-9398
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10612T
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License Number State | CA
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