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General NPI Number Information
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NPI Number | 1033342118
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Entity Type | Organization
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Legal Business Name | HUNTINGTON EYE MEDICAL GROUP INC
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 800 SO. FAIRMOUNT AVE SUITE 219
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City | PASADENA
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State | CA
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Zip | 91105-3153
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Country | US
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Telephone | 626-844-7001
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Fax | 626-844-7089
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Provider Business Mailing Address
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Address Line | 800 SO. FAIRMOUNT AVE SUITE 219
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City | PASADENA
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State | CA
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Zip | 91105-3153
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Country | US
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Telephone | 626-844-7001
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Fax | 626-844-7089
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JEFFREY C HONG
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Credential | M.D.
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Telephone | 626-844-7001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G71794
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License Number State | CA
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