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General NPI Number Information
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NPI Number | 1528100286
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Entity Type | Organization
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Legal Business Name | ALL VALLEY EYE INSTITUTE
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 18200 ERWIN ST
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City | TARZANA
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State | CA
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Zip | 91335-7024
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Country | US
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Telephone | 818-343-0983
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Fax | 818-343-3961
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Provider Business Mailing Address
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Address Line | 18200 ERWIN ST
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City | TARZANA
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State | CA
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Zip | 91335-7024
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Country | US
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Telephone | 818-343-0983
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Fax | 818-343-3961
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Authorized Official
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Title or Position | PRESIDENT
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Name | MELVIN LERNER
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Credential | M.D.
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Telephone | 818-343-0983
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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 | G10895
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License Number State | CA
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