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General NPI Number Information
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NPI Number | 1679615348
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Entity Type | Individual
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Provider Name | OWEN Y HSU OD
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 11260 WHITE ROCK ROAD
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742
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Country | US
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Telephone | 916-638-7276
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Fax | 916-638-7290
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Provider Business Mailing Address
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Address Line | 1649 PARKWAY DRIVE
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City | FOLSOM
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State | CA
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Zip | 95630
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Country | US
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Telephone | 916-984-0641
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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 | 8500
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License Number State | CA
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