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General NPI Number Information
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NPI Number | 1942271663
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Entity Type | Organization
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Legal Business Name | LI & LIAO OPTOMETRY PC
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 1002 WIBLE RD SUITE I
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City | BAKERSFIELD
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State | CA
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Zip | 93304-4137
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Country | US
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Telephone | 661-835-1104
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Fax | 661-835-8644
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Provider Business Mailing Address
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Address Line | 1002 WIBLE RD SUITE I
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City | BAKERSFIELD
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State | CA
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Zip | 93304-4137
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Country | US
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Telephone | 661-835-1104
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Fax | 661-835-8644
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Authorized Official
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Title or Position | PRESIDENT / OPTOMETRIST
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Name | DR. DAWSON TO-SANG LI
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Credential | O.D.
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Telephone | 661-835-1104
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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 | 1127
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License Number State | CA
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