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General NPI Number Information
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NPI Number | 1851848501
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Entity Type | Organization
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Legal Business Name | KAO PERFECT VISION & EYE CARE,LTD.
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 850 S BARRINGTON RD WAL-MART VISION CENTER
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City | STREAMWOOD
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State | IL
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Zip | 60107-2255
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Country | US
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Telephone | 630-372-4974
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Fax | 630-372-5097
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Provider Business Mailing Address
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Address Line | 6040 IRENE DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192-4579
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Country | US
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Telephone | 847-630-9747
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LI CHIUNG KAO
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Credential | O.D.
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Telephone | 847-630-9747
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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 |
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License Number State | IL
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