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General NPI Number Information
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NPI Number | 1891974101
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Entity Type | Individual
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Provider Name | ALEXIS WINN O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 10440 S DE ANZA BLVD STE D4
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City | CUPERTINO
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State | CA
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Zip | 95014-3018
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Country | US
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Telephone | 408-446-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 162 CENTRE CT
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City | ALAMEDA
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State | CA
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Zip | 94502-6554
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Country | US
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Telephone | 415-218-1054
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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 | 10564
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License Number State | CA
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