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General NPI Number Information
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NPI Number | 1265693188
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Entity Type | Organization
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Legal Business Name | SOHO OPTICAL LLC
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 1720 MARLTON PIKE E SOHO OPTICAL
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2301
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Country | US
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Telephone | 856-874-0011
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Fax | 856-874-0015
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Provider Business Mailing Address
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Address Line | 1720 MARLTON PIKE E SOHO OPTICAL
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City | CHERRY HILL
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State | NJ
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Zip | 08003-2301
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Country | US
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Telephone | 856-874-0011
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Fax | 856-874-0015
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. NARAH K HONG
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Credential | OD
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Telephone | 856-874-0011
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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 | 27OA00590600
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License Number State | NJ
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