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General NPI Number Information
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NPI Number | 1861878902
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Entity Type | Organization
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Legal Business Name | LAU AND NGUYEN, INC
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 10/22/2015
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Provider Practice Location Address
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Address Line | 12650 SABRE SPRINGS PKWY SUITES 203
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City | SAN DIEGO
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State | CA
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Zip | 92128-4114
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Country | US
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Telephone | 858-748-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 12650 SABRE SPRINGS PKWY SUITES 203
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City | SAN DIEGO
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State | CA
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Zip | 92128-4114
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Country | US
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Telephone | 858-748-1265
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JANICE LIM LAU
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Credential |
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Telephone | 619-813-6593
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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 |
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