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General NPI Number Information
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NPI Number | 1770008468
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Entity Type | Organization
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Legal Business Name | TINA C. CHIOU, O.D., INC.
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 400 S BALDWIN AVE STE 116
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City | ARCADIA
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State | CA
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Zip | 91007-1903
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Country | US
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Telephone | 626-445-2717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80572
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City | SAN MARINO
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State | CA
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Zip | 91118-8572
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Country | US
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Telephone | 530-220-3821
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TINA CHIOU
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Credential | OD
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Telephone | 530-220-3821
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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 | 14294TLG
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License Number State | CA
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