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General NPI Number Information
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NPI Number | 1750409488
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Entity Type | Organization
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Legal Business Name | KURT R SKINNER & LINDA W T HSU OD
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 09/17/2014
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Provider Practice Location Address
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Address Line | 3133 W MARCH LN STE 2020
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City | STOCKTON
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State | CA
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Zip | 95219-2361
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Country | US
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Telephone | 209-957-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 W MARCH LN STE 2020
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City | STOCKTON
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State | CA
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Zip | 95219-2361
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Country | US
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Telephone | 209-957-5122
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Fax | 209-951-2348
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Authorized Official
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Title or Position | OWNER
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Name | KURT SKINNER
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Credential | O.D.
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Telephone | 209-957-5122
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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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