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General NPI Number Information
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NPI Number | 1164638169
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Entity Type | Individual
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Provider Name | JORDAN HUI O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5101 S PECOS RD # 1
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City | LAS VEGAS
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State | NV
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Zip | 89120-1269
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Country | US
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Telephone | 702-898-2383
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Fax | 702-898-5383
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Provider Business Mailing Address
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Address Line | 2120 CACTUS PINE CT
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City | LAS VEGAS
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State | NV
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Zip | 89135-1089
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Country | US
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Telephone |
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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 | 520
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License Number State | NV
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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 | 12585T
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License Number State | CA
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