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Individual
PHI DOAN
Active
Individual
PHI DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11627T
CA
237700000X
Hearing Instrument Specialist
HA 7650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194878926
—
CA
01
—
FM427A
MEDICARE PTAN
CA
Enumeration date
01/18/2007
Last updated
06/23/2015
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