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General NPI Number Information
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NPI Number | 1740252337
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Entity Type | Organization
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Legal Business Name | FUKAI AND ASSOCIATES PC
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 1371 HECLA DR STE C
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City | LOUISVILLE
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State | CO
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Zip | 80027-2318
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Country | US
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Telephone | 303-666-7226
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Fax | 303-665-3367
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Provider Business Mailing Address
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Address Line | 1371 HECLA DR STE C
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City | LOUISVILLE
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State | CO
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Zip | 80027-2318
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Country | US
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Telephone | 303-666-7226
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Fax | 303-665-3367
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MICHAEL EDWIN FUKAI
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Credential | OD
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Telephone | 303-666-7226
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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 |
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License Number State |
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