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General NPI Number Information
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NPI Number | 1841561495
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Entity Type | Organization
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Legal Business Name | CLEAR FOCUS OPTOMETRY, INC.
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Dates
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Enumeration Date | 01/13/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 635B S RANCHO SANTA FE RD
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City | SAN MARCOS
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State | CA
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Zip | 92078-3973
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Country | US
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Telephone | 760-744-0767
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Fax | 760-744-2892
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Provider Business Mailing Address
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Address Line | 635B S RANCHO SANTA FE RD
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City | SAN MARCOS
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State | CA
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Zip | 92078-3973
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Country | US
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Telephone | 760-744-0767
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Fax | 760-744-2892
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Authorized Official
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Title or Position | CEO
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Name | DR. NGHI UYEN DUONG
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Credential | OD
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Telephone | 760-744-0767
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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 | 12803
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License Number State | CA
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