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General NPI Number Information
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NPI Number | 1629133178
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Entity Type | Organization
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Legal Business Name | MONTEREY BAY EYE ASSOCIATES MEDICAL GROUP, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 1441 CONSTITUTION BLVD BLDG 400 STE 100
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-424-1150
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Fax | 831-424-1158
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Provider Business Mailing Address
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Address Line | 1441 CONSTITUTION BLVD BLDG 400 STE 100
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City | SALINAS
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State | CA
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Zip | 93906-3100
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Country | US
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Telephone | 831-424-1150
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Fax | 831-424-1158
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC DEL PIERO
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Credential | M.D.
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Telephone | 831-424-1150
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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 | G46085
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License Number State | CA
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