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General NPI Number Information
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NPI Number | 1639183387
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Entity Type | Individual
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Provider Name | TIMOTHY J. HOANG PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 405 W 5TH ST 202A
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City | SANTA ANA
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State | CA
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Zip | 92701-4599
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Country | US
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Telephone | 714-470-2221
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Fax | 714-892-0090
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Provider Business Mailing Address
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Address Line | PO BOX 72
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City | TUSTIN
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State | CA
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Zip | 92781-0072
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Country | US
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Telephone | 714-470-2221
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Fax | 714-892-0090
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY18203
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License Number State | CA
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