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General NPI Number Information
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NPI Number | 1124247101
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Entity Type | Individual
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Provider Name | PAUL YU YI HSIAO OD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 46300 LEXINGTON VILLAGE WAY
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City | LEXINGTON PARK
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State | MD
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Zip | 20653-5560
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Country | US
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Telephone | 301-862-2836
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Fax | 301-737-3390
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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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 | 0618003166
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License Number State | VA
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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 | TA0953
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License Number State | MD
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