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General NPI Number Information
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NPI Number | 1699956649
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Entity Type | Organization
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Legal Business Name | JAY L SCHLANGER OD INC
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD SUITE 690
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-789-2030
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Fax |
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD SUITE 690
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-789-2030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAY LAWRENCE SCHLANGER
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Credential | O.D.
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Telephone | 818-789-2030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 06343
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 06343
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License Number State | CA
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