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General NPI Number Information
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NPI Number | 1609022680
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Entity Type | Organization
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Legal Business Name | ALINA HO OD A PROFESSIONAL CORP
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 1150 E ARTESIA BLVD
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City | LONG BEACH
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State | CA
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Zip | 90805-1555
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Country | US
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Telephone | 562-489-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 N GATES ST
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City | SANTA ANA
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State | CA
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Zip | 92703-1646
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Country | US
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Telephone | 562-489-5066
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALINA HO
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Credential |
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Telephone | 562-489-5066
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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 | 12809T
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License Number State | CA
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