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General NPI Number Information
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NPI Number | 1780188631
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Entity Type | Organization
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Legal Business Name | HECTOR DUENAS GONZALEZ, O.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 2524 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2549
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Country | US
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Telephone | 213-749-3888
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Fax | 213-747-8670
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Provider Business Mailing Address
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Address Line | 2524 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90007-2549
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Country | US
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Telephone | 213-749-3888
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Fax | 213-747-8670
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HECTOR DUENAS GONZALEZ
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Credential | O.D.
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Telephone | 323-683-2285
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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 | 14450
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License Number State | CA
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