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General NPI Number Information
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NPI Number | 1992001580
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Entity Type | Organization
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Legal Business Name | HOME CARE OPTOMETRY
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 3302 ENSENADA DR
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City | SAN RAMON
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State | CA
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Zip | 94583-3010
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Country | US
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Telephone | 925-899-8668
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Fax |
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Provider Business Mailing Address
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Address Line | 3302 ENSENADA DR
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City | SAN RAMON
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State | CA
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Zip | 94583-3010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAN MILANO
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Credential | O.D.
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Telephone | 925-899-8668
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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 | 7569
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License Number State | CA
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