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General NPI Number Information
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NPI Number | 1508897893
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Entity Type | Organization
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Legal Business Name | H L SULIT MEDICAL PROFESSIONAL CORP
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 825 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-4225
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Country | US
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Telephone | 562-436-9771
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Fax | 562-436-1067
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Provider Business Mailing Address
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Address Line | 825 PACIFIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-4225
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Country | US
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Telephone | 562-436-9771
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Fax | 562-436-1067
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HECTOR L SULIT
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Credential | M.D.
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Telephone | 562-436-9771
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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 | A30161
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License Number State | CA
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