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General NPI Number Information
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NPI Number | 1114339579
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Entity Type | Organization
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Legal Business Name | SANDY HOKAMA, O.D., A PROFESSIONALOPTOMETRIC CORP
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | 1751 S ELENA AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5704
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Country | US
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Telephone | 310-540-6225
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Fax | 310-540-2218
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Provider Business Mailing Address
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Address Line | 1751 S ELENA AVE
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5704
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Country | US
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Telephone | 310-540-6225
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Fax | 310-540-2218
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Authorized Official
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Title or Position | OPTICIAN
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Name | STACY ALVAREZ
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Credential |
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Telephone | 310-540-6225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 9660T
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License Number State | CA
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