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General NPI Number Information
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NPI Number | 1558737544
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Entity Type | Organization
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Legal Business Name | DR TERRY TSANG OPTOMETRY
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 4920 BARRANCA PKWY STE A
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City | IRVINE
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State | CA
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Zip | 92604-4672
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Country | US
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Telephone | 657-206-6628
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Fax |
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Provider Business Mailing Address
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Address Line | 4920 BARRANCA PKWY STE A
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City | IRVINE
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State | CA
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Zip | 92604-4672
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Country | US
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Telephone | 657-206-6628
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Fax |
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Authorized Official
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Title or Position | O.D./OWNER
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Name | TERRY TSANG
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Credential | O.D.
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Telephone | 657-206-6628
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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 | 10789
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License Number State | CA
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