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General NPI Number Information
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NPI Number | 1588157952
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Entity Type | Organization
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Legal Business Name | BRIAN CHOU, O.D., INC.
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Dates
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Enumeration Date | 06/11/2018
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Last Update Date | 06/11/2018
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Provider Practice Location Address
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Address Line | 2020 CAMINO DEL RIO N STE 109
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City | SAN DIEGO
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State | CA
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Zip | 92108-1542
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Country | US
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Telephone | 619-299-6064
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 CAMINO DEL RIO N STE 109
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City | SAN DIEGO
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State | CA
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Zip | 92108-1542
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Country | US
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Telephone | 619-299-6064
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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. BRIAN CHOU
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Credential | OD
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Telephone | 858-395-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 11119T
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License Number State | CA
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