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General NPI Number Information
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NPI Number | 1770048266
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Entity Type | Organization
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Legal Business Name | LUXI OPTOMETRY, INC
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 3250 W. OLYMPIC BLVD #221
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 323-766-9000
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Fax | 323-766-9009
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Provider Business Mailing Address
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Address Line | 3250 W. OLYMPIC BLVD #221
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 323-766-9000
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Fax | 323-766-9009
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Authorized Official
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Title or Position | DOCTOR
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Name | MRS. JANICE H KIM
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Credential | OD
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Telephone | 323-766-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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