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General NPI Number Information
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NPI Number | 1558740787
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Entity Type | Organization
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Legal Business Name | MILANI OPTICAL
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 644 PLUMAS ST
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City | YUBA CITY
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State | CA
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Zip | 95991-4434
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Country | US
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Telephone | 530-673-2828
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Fax | 530-673-6888
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Provider Business Mailing Address
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Address Line | 644 PLUMAS ST
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City | YUBA CITY
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State | CA
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Zip | 95991-4434
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Country | US
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Telephone | 530-673-2828
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Fax | 530-673-6888
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Authorized Official
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Title or Position | OPTICIAN/ PARTNER
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Name | MS. ANGELA KRISTINE BUTLER
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Credential | ABOC
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Telephone | 530-673-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | D7041
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License Number State | CA
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