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General NPI Number Information
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NPI Number | 1184620742
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Entity Type | Individual
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Provider Name | GREGORY SHOOU-REN HSU D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 299 N PECOS RD
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City | HENDERSON
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State | NV
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Zip | 89074-1918
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Country | US
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Telephone | 702-450-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 299 N PECOS RD
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City | HENDERSON
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State | NV
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Zip | 89074-1918
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Country | US
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Telephone | 702-450-6000
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | DO702
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License Number State | NV
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