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General NPI Number Information
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NPI Number | 1790196624
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Entity Type | Organization
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Legal Business Name | EYECARE FOR YOU OPTOMETRY, INC
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 390 EL CAMINO REAL SUITE J
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City | BELMONT
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State | CA
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Zip | 94002-2054
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Country | US
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Telephone | 650-867-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 228 ROSILIE ST
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City | SAN MATEO
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State | CA
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Zip | 94403-4906
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Country | US
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Telephone | 650-867-3733
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. FAYE PHOEBE YAP
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Credential | O.D.
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Telephone | 650-867-3733
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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 | 10959T
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License Number State | CA
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