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General NPI Number Information
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NPI Number | 1568716033
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Entity Type | Organization
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Legal Business Name | CHARLES BITTEL III, O.D., INC.
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 20399 YORBA LINDA BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-3062
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Country | US
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Telephone | 714-779-8521
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Fax | 714-779-8581
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Provider Business Mailing Address
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Address Line | 20399 YORBA LINDA BLVD
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City | YORBA LINDA
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State | CA
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Zip | 92886-3062
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Country | US
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Telephone | 714-779-8521
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Fax | 714-779-8581
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. CHARLES BITTEL III
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Credential | O.D.
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Telephone | 714-779-8521
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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 | OPT13002T
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License Number State | CA
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