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General NPI Number Information
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NPI Number | 1780654616
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Entity Type | Individual
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Provider Name | ERIN SUK-KYUNG HAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 3359 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90010-1803
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Country | US
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Telephone | 213-382-2777
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Fax | 213-382-6777
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Provider Business Mailing Address
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Address Line | 4444 WILSHIRE BLVD #104
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City | LOS ANGELES
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State | CA
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Zip | 90010-3718
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Country | US
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Telephone | 213-369-4857
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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 | 8482T
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License Number State | CA
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