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General NPI Number Information
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NPI Number | 1083817431
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Entity Type | Individual
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Provider Name | EELING ELAINE GOH O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/03/2013
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Provider Practice Location Address
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Address Line | 640 E DEER SPRINGS WAY STE 140
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City | N LAS VEGAS
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State | NV
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Zip | 89086-1512
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Country | US
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Telephone | 702-651-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 HUMBLE HOLLOW PL
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City | N LAS VEGAS
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State | NV
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Zip | 89084-3164
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Country | US
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Telephone | 702-546-8988
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 12747 T
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 660
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License Number State | NV
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