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General NPI Number Information
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NPI Number | 1851464812
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Entity Type | Organization
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Legal Business Name | JEAN BICAIS OPTICAL CO INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1075 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2905
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Country | US
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Telephone | 707-224-9444
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 TRANCAS ST
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City | NAPA
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State | CA
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Zip | 94558-2905
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Country | US
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Telephone | 707-224-9444
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Fax |
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | SUSAN MARIE BICAIS
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Credential |
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Telephone | 707-252-9444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | D2596
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License Number State | CA
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