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General NPI Number Information
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NPI Number | 1386046779
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Entity Type | Individual
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Provider Name | HYUNJIN OH OD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 271 LIVINGSTON ST STE S
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City | NORTHVALE
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State | NJ
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Zip | 07647-1916
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Country | US
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Telephone | 201-762-2833
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Fax | 201-808-3998
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Provider Business Mailing Address
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Address Line | 271 LIVINGSTON ST STE S
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City | NORTHVALE
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State | NJ
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Zip | 07647-1916
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Country | US
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Telephone | 201-762-2833
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Fax | 200-808-3998
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00656700
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License Number State | NJ
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