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General NPI Number Information
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NPI Number | 1497275440
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Entity Type | Organization
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Legal Business Name | 2 SEE OPTOMETRY
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 06/21/2017
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Provider Practice Location Address
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Address Line | 3115 FOOTHILL BLVD STE D
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City | LA CRESCENTA
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State | CA
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Zip | 91214-4237
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Country | US
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Telephone | 818-832-4646
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Fax | 818-368-9898
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Provider Business Mailing Address
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Address Line | 5060 ANGELES CREST HWY
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City | LA CANADA
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State | CA
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Zip | 91011-2368
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Country | US
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Telephone | 818-790-5670
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CATHERINE JUNGHYE HAN
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Credential | OD
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Telephone | 818-832-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 11143T
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License Number State | CA
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