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General NPI Number Information
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NPI Number | 1568846566
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Entity Type | Organization
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Legal Business Name | DIAMOND VISION INSTITUTE
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 07/20/2015
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Provider Practice Location Address
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Address Line | 375 HUNTINGTON DR SUITE E
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City | SAN MARINO
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State | CA
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Zip | 91108-2357
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Country | US
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Telephone | 626-802-4920
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Fax |
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Provider Business Mailing Address
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Address Line | 1062 SNYDER LN
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City | MONTEREY PARK
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State | CA
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Zip | 91754-4760
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY HUANG
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Credential | D.O.
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Telephone | 949-510-5075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | CA
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