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General NPI Number Information
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NPI Number | 1467820589
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Entity Type | Organization
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Legal Business Name | LEE AND WU, OPTOMETRISTS, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/05/2015
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Last Update Date | 09/05/2015
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Provider Practice Location Address
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Address Line | 1033 HIGHLAND AVE
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City | NATIONAL CITY
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State | CA
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Zip | 91950-3515
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Country | US
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Telephone | 619-477-2771
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Fax | 619-477-1680
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Provider Business Mailing Address
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Address Line | 1033 HIGHLAND AVE
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City | NATIONAL CITY
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State | CA
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Zip | 91950-3515
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Country | US
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Telephone | 619-477-2771
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Fax | 619-477-1680
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. EVA YUTING WU
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Credential | O.D.
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Telephone | 619-847-1777
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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 | 14743 TLG
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 14519 TLG
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License Number State | CA
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