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General NPI Number Information
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NPI Number | 1437439742
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Entity Type | Organization
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Legal Business Name | HELEN HUANG O.D. INC
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Dates
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Enumeration Date | 08/18/2011
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 17251 FOOTHILL BLVD
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City | FONTANA
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State | CA
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Zip | 92335-9044
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Country | US
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Telephone | 909-355-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 19746 LOS PINOS DR
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City | WALNUT
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State | CA
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Zip | 91789-1724
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Country | US
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Telephone | 909-355-3156
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | HELEN HUANG
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Credential | O.D.
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Telephone | 909-355-3156
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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 | 13460T
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License Number State | CA
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