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General NPI Number Information
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NPI Number | 1891847380
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Entity Type | Individual
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Provider Name | FAYE PHOEBE YAP-KATZMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 390 EL CAMINO REAL SUITE J
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City | BELMONT
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State | CA
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Zip | 94002-2054
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Country | US
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Telephone | 650-867-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 228 ROSILIE ST
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City | SAN MATEO
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State | CA
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Zip | 94403-4906
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Country | US
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Telephone | 650-867-3733
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10959T
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License Number State | CA
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