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General NPI Number Information
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NPI Number | 1639705965
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Entity Type | Individual
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Provider Name | KAREN TSAI OD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 11301 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 301-478-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 929 WESTRIDGE DR
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City | MILPITAS
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State | CA
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Zip | 95035-7830
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Country | US
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Telephone | 949-751-6041
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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 | 34676
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License Number State | CA
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