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General NPI Number Information
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NPI Number | 1730821638
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Entity Type | Organization
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Legal Business Name | VINCENT HSU PROFESSIONAL CORP
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 1220 S GOLDEN WEST AVE STE B
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City | ARCADIA
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State | CA
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Zip | 91007-7484
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Country | US
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Telephone | 626-821-0222
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Fax | 626-821-9420
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Provider Business Mailing Address
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Address Line | 6239 CAMELLIA AVE
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City | TEMPLE CITY
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State | CA
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Zip | 91780-1759
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Country | US
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Telephone | 714-743-5748
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VINCENT HSU
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Credential | OD
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Telephone | 626-821-0222
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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 |
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License Number State |
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