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General NPI Number Information
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NPI Number | 1669425567
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Entity Type | Organization
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Legal Business Name | KARIN MENG MS OD AND NICOLE JANOVITCH OD PTR
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 1210 E ARQUES AVE SUITE 210
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City | SUNNYVALE
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State | CA
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Zip | 94085-5401
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Country | US
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Telephone | 408-245-2020
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Fax | 408-245-2520
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Provider Business Mailing Address
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Address Line | 1210 E ARQUES AVE SUITE 210
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City | SUNNYVALE
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State | CA
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Zip | 94085-5401
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Country | US
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Telephone | 408-245-2020
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Fax | 408-245-2520
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. NICOLE MONICA JANOVITCH
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Credential | O.D.
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Telephone | 408-245-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 8546T
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License Number State | CA
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