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General NPI Number Information
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NPI Number | 1639622038
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Entity Type | Individual
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Provider Name | HONG-NGOC HAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 10809 EXECUTIVE CENTER DR STE 201
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City | LITTLE ROCK
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State | AR
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Zip | 72211-6021
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Country | US
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Telephone | 501-588-0072
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Fax | 501-221-3751
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Provider Business Mailing Address
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Address Line | 106 WOODSTONE DR UNIT C
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City | ALEXANDER
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State | AR
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Zip | 72002-3095
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Country | US
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Telephone | 504-600-4048
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Fax |
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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 | 1822-756AT
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4030
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License Number State | AR
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