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General NPI Number Information
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NPI Number | 1538771225
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Entity Type | Organization
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Legal Business Name | DEL SUR EYECARE & OPTOMETRY INC.
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 17170 CAMINO DEL SUR
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City | SAN DIEGO
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State | CA
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Zip | 92127-2538
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Country | US
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Telephone | 858-227-3932
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Fax |
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Provider Business Mailing Address
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Address Line | 17118 GLEN ASPEN DR
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City | SAN DIEGO
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State | CA
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Zip | 92127-7830
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Country | US
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Telephone | 858-729-8544
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | LINDA TRAN
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Credential | OD
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Telephone | 858-729-8544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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