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General NPI Number Information
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NPI Number | 1245629013
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Entity Type | Organization
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Legal Business Name | LINDY H HOANG OPTOMETRY, INC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 3929 S BRISTOL ST STE 202
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City | SANTA ANA
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State | CA
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Zip | 92704-8100
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Country | US
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Telephone | 714-549-4343
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Fax | 714-549-7277
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Provider Business Mailing Address
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Address Line | 3929 S BRISTOL ST STE 202
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City | SANTA ANA
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State | CA
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Zip | 92704-8100
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Country | US
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Telephone | 714-549-4343
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Fax | 714-549-7277
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. LINDY HANH HOANG
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Credential | O.D.
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Telephone | 714-549-4343
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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 | 14342
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License Number State | CA
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