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General NPI Number Information
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NPI Number | 1649280454
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Entity Type | Organization
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Legal Business Name | CLEAR VIEW OPTOMETRY, PC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 12263 HIGHLAND AVE STE 120
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-2576
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Country | US
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Telephone | 909-899-5001
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Fax | 909-899-5003
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Provider Business Mailing Address
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Address Line | 12263 HIGHLAND AVE STE 120
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91739-2576
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Country | US
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Telephone | 909-899-5001
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Fax | 909-899-5003
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JIN XIA ZHU
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Credential | O.D.
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Telephone | 909-899-5001
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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 | 11800T
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License Number State | CA
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