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General NPI Number Information
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NPI Number | 1497752778
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Entity Type | Individual
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Provider Name | NUALHATHAI PRISCILLA SONGSANAND MD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 14075 HESPERIA RD STE 101
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City | VICTORVILLE
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State | CA
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Zip | 92395-4500
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Country | US
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Telephone | 760-245-3230
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Fax | 760-245-7215
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Provider Business Mailing Address
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Address Line | 16197 CROWN VALLEY DR
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1210
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Country | US
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Telephone | 760-245-3230
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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 | A81254
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License Number State | CA
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