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General NPI Number Information
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NPI Number | 1629245014
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Entity Type | Individual
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Provider Name | HENRY K. FOK O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 1818 TULLY RD #158B
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City | SAN JOSE
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State | CA
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Zip | 95122-1883
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Country | US
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Telephone | 408-274-0998
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Fax | 408-274-2060
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Provider Business Mailing Address
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Address Line | 907 TASSASARA DR
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City | MILPITAS
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State | CA
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Zip | 95035-4557
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Country | US
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Telephone | 408-946-2279
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6216
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License Number State | CA
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