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General NPI Number Information
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NPI Number | 1437768819
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Entity Type | Organization
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Legal Business Name | ALAMEDA EYE CENTER, PC
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 2418 CENTRAL AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4516
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Country | US
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Telephone | 510-519-8066
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 SHORELINE DR APT 471
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City | ALAMEDA
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State | CA
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Zip | 94501-6250
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Country | US
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Telephone | 864-979-5548
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ABBY LIU
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Credential | MD
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Telephone | 864-979-5548
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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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