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General NPI Number Information
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NPI Number | 1992924088
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Entity Type | Organization
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Legal Business Name | DR PETER L RICH OPTOMETRY CORP
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 26611 ALISO CREEK RD STE B
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City | ALISO VIEJO
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State | CA
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Zip | 92656-4805
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Country | US
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Telephone | 949-362-2200
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Fax | 949-362-0249
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Provider Business Mailing Address
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Address Line | 26611 ALISO CREEK RD STE B
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City | ALISO VIEJO
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State | CA
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Zip | 92656-4805
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Country | US
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Telephone | 949-362-2200
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Fax | 949-362-0249
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER L RICH
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Credential | O.D.
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Telephone | 949-362-2200
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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 | 5453T
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License Number State | CA
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