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General NPI Number Information
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NPI Number | 1477007235
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Entity Type | Organization
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Legal Business Name | CENTRAL COAST VISION AND LEARNING
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 1050 LAS TABLAS RD SUITE 4
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City | TEMPLETON
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State | CA
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Zip | 93465-9729
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Country | US
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Telephone | 805-239-7488
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Fax | 805-738-3130
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Provider Business Mailing Address
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Address Line | 1050 LAS TABLAS RD SUITE 4
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City | TEMPLETON
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State | CA
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Zip | 93465-9729
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Country | US
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Telephone | 805-239-7488
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Fax | 805-738-3130
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NANCY JANE MAJOR
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Credential | M.S., C.O.V.T.
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Telephone | 805-239-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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