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General NPI Number Information
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NPI Number | 1720429947
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Entity Type | Organization
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Legal Business Name | ROWLAND OPTOMETRY
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 07/16/2013
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Provider Practice Location Address
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Address Line | 1727 FULLERTON RD
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2614
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Country | US
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Telephone | 626-581-4600
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Fax | 626-529-0927
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Provider Business Mailing Address
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Address Line | 1727 FULLERTON RD
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2614
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Country | US
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Telephone | 626-581-4600
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Fax | 626-529-0927
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SYLVIA YUN
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Credential | O.D.
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Telephone | 626-581-4600
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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 | 12959T
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License Number State | CA
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