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NPI 1013242064

NPI 1013242064 : HOANG VISION CENTER INC : CRANFORD, NJ

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General NPI Number Information
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    NPI Number           |    1013242064
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOANG VISION CENTER INC 
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Dates
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    Enumeration Date     |    10/08/2009
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    Last Update Date     |    10/30/2014
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Provider Practice Location Address
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    Address Line         |    23 NORTH AVE W 
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    City                 |    CRANFORD
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    State                |    NJ
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    Zip                  |    07016-2114
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    Country              |    US
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    Telephone            |    908-276-0200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    23 NORTH AVE W 
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    City                 |    CRANFORD
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    State                |    NJ
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    Zip                  |    07016-2114
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    Country              |    US
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    Telephone            |    908-276-0200
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. CHRISTY T HOANG 
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    Credential           |    O.D
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    Telephone            |    908-276-0200
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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       |    27OA00604500
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    License Number State |    NJ
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