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General NPI Number Information
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NPI Number | 1518132596
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Entity Type | Organization
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Legal Business Name | OCULAR INSTITUTE OF CALIFORNIA, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 17833 COLIMA RD
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91748-1729
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Country | US
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Telephone | 626-964-8864
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 708
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City | ROSEMEAD
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State | CA
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Zip | 91770-0708
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Country | US
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Telephone | 626-485-4007
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN SHUOH-TYNG MA
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Credential | M.D.
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Telephone | 626-485-4007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A62421
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License Number State | CA
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