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General NPI Number Information
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NPI Number | 1851424113
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Entity Type | Organization
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Legal Business Name | WESLEY CHANT, OD
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 18414 E. COLIMA RD SUITE U
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2882
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Country | US
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Telephone | 626-839-0358
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Fax |
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Provider Business Mailing Address
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Address Line | 3943 IRVINE BLVD # 87
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City | IRVINE
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State | CA
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Zip | 92602-2400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | O.D.
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Name | DR. WESLEY JUAN CHANT
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Credential |
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Telephone | 626-236-8571
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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 | 12553
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License Number State | CA
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