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General NPI Number Information
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NPI Number | 1932241502
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Entity Type | Individual
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Provider Name | JENNY TSENG O. D.
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 43621 PACIFIC COMMONS BLVD
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City | FREMONT
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State | CA
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Zip | 94538-3809
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Country | US
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Telephone | 510-770-0400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 62485
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City | SUNNYVALE
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State | CA
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Zip | 94088-2485
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Country | US
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Telephone | 408-773-9662
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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 | 11260T
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3509
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License Number State | WA
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