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General NPI Number Information
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NPI Number | 1306901335
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Entity Type | Individual
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Provider Name | CHONG SAN HONE M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 17170 COLIMA RD. STE# G
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6813
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Country | US
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Telephone | 626-810-0706
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Fax | 626-810-9829
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Provider Business Mailing Address
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Address Line | 17170 COLIMA RD STE# G
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6771
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Country | US
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Telephone | 626-810-0706
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Fax | 626-810-9829
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A49271
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License Number State | CA
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