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General NPI Number Information
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NPI Number | 1982141206
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Entity Type | Organization
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Legal Business Name | MEI LEE FLEMING OPTOMETRY
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 3444 MT DIABLO BLVD
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City | LAFAYETTE
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State | CA
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Zip | 94549-3912
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Country | US
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Telephone | 415-601-6568
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Fax |
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Provider Business Mailing Address
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Address Line | 5 MORAGA VALLEY LN
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City | MORAGA
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State | CA
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Zip | 94556-1156
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Country | US
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Telephone | 415-601-6568
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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. MEI LEE FLEMING
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Credential | O.D.
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Telephone | 415-601-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 11635T
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License Number State | CA
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