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General NPI Number Information
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NPI Number | 1619011848
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Entity Type | Organization
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Legal Business Name | GENEVA EYE CARE
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | 940 GENEVA AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-3403
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Country | US
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Telephone | 415-585-6588
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Fax | 415-585-6403
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Provider Business Mailing Address
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Address Line | 940 GENEVA AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94112-3403
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Country | US
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Telephone | 415-585-6588
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Fax | 415-585-6403
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYLY UNG
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Credential | O.D.
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Telephone | 415-585-6588
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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 | 10244TPL
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License Number State | CA
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