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NPI 1730494055

NPI 1730494055 : CAREN AKEMI OQUINDO OD : FULLERTON, CA

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General NPI Number Information
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    NPI Number           |    1730494055
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    Entity Type          |    Individual 
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    Provider Name        |    CAREN AKEMI OQUINDO OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2010
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    Last Update Date     |    07/18/2018
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Provider Practice Location Address
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    Address Line         |    2575 YORBA LINDA BLVD 
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    City                 |    FULLERTON
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    State                |    CA
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    Zip                  |    92831
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    Country              |    US
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    Telephone            |    714-449-7401
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5460 E LA PALMA AVE 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92807-2023
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    Country              |    US
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    Telephone            |    714-463-7500
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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       |    14111TLG
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    License Number State |    CA
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