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General NPI Number Information
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NPI Number | 1730360215
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Entity Type | Organization
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Legal Business Name | NGAN, INC.
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 6737 STELLA LINK RD
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City | HOUSTON
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State | TX
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Zip | 77005-4342
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Country | US
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Telephone | 713-660-9912
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Fax | 713-660-9909
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Provider Business Mailing Address
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Address Line | 6737 STELLA LINK RD
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City | HOUSTON
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State | TX
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Zip | 77005-4342
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Country | US
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Telephone | 713-660-9912
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Fax | 713-660-9909
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN LIM
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Credential | M.D.
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Telephone | 713-660-9912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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