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General NPI Number Information
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NPI Number | 1730428194
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Entity Type | Organization
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Legal Business Name | MEDICAL AND SURGICAL VISION CARE, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 15251 NATIONAL AVE STE 100
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City | LOS GATOS
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State | CA
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Zip | 95032-2400
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Country | US
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Telephone | 408-985-2020
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Fax | 408-356-9333
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Provider Business Mailing Address
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Address Line | 15251 NATIONAL AVE STE 100
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City | LOS GATOS
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State | CA
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Zip | 95032-2400
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Country | US
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Telephone | 408-985-2020
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Fax | 408-356-9333
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAYED JOVKAR
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Credential | M.D.
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Telephone | 408-985-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | A55392
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License Number State | CA
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