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General NPI Number Information
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NPI Number | 1962551358
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Entity Type | Organization
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Legal Business Name | CURTIS KAN AND JIMMY LEE, OD, PTR
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 10/26/2011
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Provider Practice Location Address
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Address Line | 625 W COLLEGE ST SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90012-1675
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Country | US
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Telephone | 213-680-1394
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Fax | 213-680-2804
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Provider Business Mailing Address
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Address Line | 625 W COLLEGE ST SUITE 102
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City | LOS ANGELES
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State | CA
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Zip | 90012-1675
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Country | US
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Telephone | 213-680-1394
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Fax | 213-680-2804
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Authorized Official
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Title or Position | PARTNER
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Name | DR. CURTIS KAN
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Credential | OD
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Telephone | 213-680-1394
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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 | 07640T
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License Number State | CA
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