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General NPI Number Information
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NPI Number | 1710062401
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Entity Type | Organization
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Legal Business Name | RAY HSIAO MD INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 1850 S AZUSA AVE SUITE 308
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6813
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Country | US
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Telephone | 626-854-7866
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Fax | 626-820-0666
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Provider Business Mailing Address
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Address Line | 1850 S AZUSA AVE SUITE 308
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-6813
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Country | US
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Telephone | 626-854-7866
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Fax | 626-820-0666
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAY HSAIO
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Credential | MD
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Telephone | 626-854-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G70571
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License Number State | CA
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