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General NPI Number Information
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NPI Number | 1972741619
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Entity Type | Organization
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Legal Business Name | TERESA GAI DO OPTOMETRY, INC.
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 12/08/2010
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Provider Practice Location Address
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Address Line | 500 S EUCLID ST STE D
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City | ANAHEIM
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State | CA
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Zip | 92802-1251
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Country | US
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Telephone | 714-635-1100
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Fax | 714-635-1155
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Provider Business Mailing Address
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Address Line | 500 S EUCLID ST STE D
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City | ANAHEIM
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State | CA
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Zip | 92802-1251
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Country | US
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Telephone | 714-635-1100
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Fax | 714-635-1155
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. TERESA XUAN DO
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Credential | O.D.
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Telephone | 714-635-1100
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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 | OPT 12291T
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License Number State | CA
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