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General NPI Number Information
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NPI Number | 1437548708
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Entity Type | Organization
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Legal Business Name | UCI OPHTHALMOLOGY GROUP
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-456-2986
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Fax | 714-456-2979
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Provider Business Mailing Address
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Address Line | PO BOX 51055
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City | LOS ANGELES
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State | CA
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Zip | 90051-5355
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Country | US
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Telephone | 714-456-2986
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Fax | 714-456-2979
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ROGER F STEINERT
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Credential | MD
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Telephone | 949-824-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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