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General NPI Number Information
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NPI Number | 1235503558
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Entity Type | Organization
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Legal Business Name | HOANG EYE CARE, PLLC
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 9053 HIGHWAY 107
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City | SHERWOOD
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State | AR
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Zip | 72120-2933
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Country | US
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Telephone | 501-412-8519
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Fax |
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Provider Business Mailing Address
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Address Line | 308 MONTICELLO W
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City | BRYANT
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State | AR
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Zip | 72022-8351
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Country | US
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Telephone | 501-412-8519
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | KIMMY HOANG
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Credential | OD
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Telephone | 870-723-5573
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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 | 2683
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License Number State | AR
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