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NPI 1609906783

NPI 1609906783 : STEVEN H HONG O.D. : PLEASANTON, CA

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General NPI Number Information
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    NPI Number           |    1609906783
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN H HONG O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    07/16/2009
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Provider Practice Location Address
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    Address Line         |    4501 ROSEWOOD DR 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-3079
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    Country              |    US
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    Telephone            |    925-225-9036
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    Fax                  |    925-469-1187
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Provider Business Mailing Address
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    Address Line         |    4501 ROSEWOOD DR 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-3079
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    Country              |    US
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    Telephone            |    925-225-9036
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    Fax                  |    925-469-1187
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    12827
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    License Number State |    CA
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