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General NPI Number Information
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NPI Number | 1962693531
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Entity Type | Organization
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Legal Business Name | ORANGE COAST EYE CENTER INC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 18426 BROOKHURST ST SUITE 103
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6776
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Country | US
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Telephone | 714-546-2020
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Fax | 714-436-2929
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Provider Business Mailing Address
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Address Line | 18426 BROOKHURST ST SUITE 103
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6776
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Country | US
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Telephone | 714-546-2020
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Fax | 714-436-2929
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ERIN SCIACCA
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Credential |
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Telephone | 714-546-2020
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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 |
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License Number State |
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