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General NPI Number Information
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NPI Number | 1285094144
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Entity Type | Individual
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Provider Name | ANNE KHONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/03/2016
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Last Update Date | 03/03/2016
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Provider Practice Location Address
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Address Line | 7575 METROPOLITAN DR
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City | SAN DIEGO
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State | CA
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Zip | 92108-4421
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Country | US
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Telephone | 619-278-4699
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Fax |
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Provider Business Mailing Address
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Address Line | 8347 DISTINCTIVE DR
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City | SAN DIEGO
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State | CA
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Zip | 92108-2600
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Country | US
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Telephone | 858-531-0243
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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 | G69641
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License Number State | CA
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