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General NPI Number Information
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NPI Number | 1528394962
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Entity Type | Organization
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Legal Business Name | BEYOND BLINDNESS
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 18542-B VANDERLIP AVE.
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City | SANTA ANA
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State | CA
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Zip | 92705
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Country | US
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Telephone | 714-573-8888
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Fax | 714-573-8875
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Provider Business Mailing Address
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Address Line | 18542-B VANDERLIP AVE.
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City | SANTA ANA
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State | CA
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Zip | 92705
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Country | US
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Telephone | 714-573-8888
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Fax | 714-573-8875
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ANGIE ROWE
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Credential |
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Telephone | 714-573-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 300614054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 300614053
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License Number State | CA
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