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NPI Code Detail

MEDICARE: BENJAMIN HOANG

MEDICARE: BENJAMIN HOANG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1306292917
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HOANG
Provider Business Mailing Address
First Line : 1003 7TH AVE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-5779
Country : US
Telephone Number : 425-658-3016
Fax Number :
Provider Business Practice Location Address
First Line : 1003 7TH AVE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-5779
Country : US
Telephone Number : 425-658-3016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2016
Last Update Date : 05/12/2016

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Directions to “ BENJAMIN HOANG ” Practice Location

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