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General NPI Number Information
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NPI Number | 1942591367
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Entity Type | Organization
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Legal Business Name | GLOBAL EYE AND LASER CENTER
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 6333 W 3RD ST STE 708
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City | LOS ANGELES
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State | CA
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Zip | 90036-3176
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Country | US
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Telephone | 323-936-5140
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Fax |
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Provider Business Mailing Address
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Address Line | 18632 BEACH BLVD STE 100
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2047
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ARBI MELIKIAN
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Credential | OD
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Telephone | 323-936-5140
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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 | 12334
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License Number State | CA
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