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General NPI Number Information
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NPI Number | 1548405335
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Entity Type | Individual
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Provider Name | AUDREY V LOUIE O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 495 CASTRO ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-2086
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Country | US
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Telephone | 650-967-6649
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Fax | 650-967-0237
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Provider Business Mailing Address
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Address Line | 37524 MARSTEN DR
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City | NEWARK
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State | CA
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Zip | 94560-3699
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Country | US
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Telephone | 510-494-9184
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13487T
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License Number State | CA
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