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General NPI Number Information
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NPI Number | 1538456181
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Entity Type | Organization
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Legal Business Name | TOAN HA, O.D. LLC
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Dates
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Enumeration Date | 07/04/2011
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 410 S RAMPART BLVD # 140
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City | LAS VEGAS
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State | NV
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Zip | 89145-5726
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Country | US
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Telephone | 702-898-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 4861 CAMINO PACIFICO
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-1084
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TOAN HA
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Credential | O.D.
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Telephone | 702-898-8900
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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 | 521
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License Number State | NV
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