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General NPI Number Information
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NPI Number | 1699214510
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Entity Type | Organization
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Legal Business Name | LI & LIAO OPTOMETRY PC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 9820 BRIMHALL RD
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2787
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Country | US
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Telephone | 661-213-3000
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Fax | 661-213-3101
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Provider Business Mailing Address
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Address Line | 9820 BRIMHALL RD
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2787
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Country | US
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Telephone | 661-213-3000
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Fax | 661-213-3101
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Authorized Official
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Title or Position | ADMINISTARTOR
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Name | KIM FRANCO
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Credential |
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Telephone | 661-213-3000
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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 | 11173T
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License Number State | CA
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