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General NPI Number Information
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NPI Number | 1013122670
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Entity Type | Organization
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Legal Business Name | JAYSON HOANG INC.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 4629 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92115-4402
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Country | US
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Telephone | 619-285-1236
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Fax | 619-285-1007
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Provider Business Mailing Address
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Address Line | 4629 EL CAJON BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92115-4402
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Country | US
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Telephone | 619-285-1236
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Fax | 619-828-1009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAYSON HOANG
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Credential | D.C.
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Telephone | 619-285-1236
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27446
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License Number State | CA
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