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General NPI Number Information
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NPI Number | 1952495822
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Entity Type | Organization
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Legal Business Name | SUNALP VISION CENTER
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 880 E MERRITT AVE STE 109
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City | TULARE
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State | CA
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Zip | 93274-2244
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Country | US
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Telephone | 559-688-2020
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Fax | 559-688-8526
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Provider Business Mailing Address
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Address Line | 880 E MERRITT AVE
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City | TULARE
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State | CA
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Zip | 93274-2244
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Country | US
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Telephone | 559-688-2020
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Fax | 559-688-8526
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MURAD A SUNALP
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Credential | M.D.
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Telephone | 559-688-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A36954
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License Number State | CA
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