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General NPI Number Information
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NPI Number | 1043699382
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Entity Type | Individual
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Provider Name | STACY NINA HU O.D., M.S.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 10837 LAUREL ST STE 202
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7669
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Country | US
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Telephone | 909-987-3330
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Fax | 909-706-3773
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Provider Business Mailing Address
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Address Line | 10837 LAUREL ST STE 202
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-7669
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Country | US
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Telephone | 909-987-3330
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Fax | 909-706-3773
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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 | 33494
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 60559136
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License Number State | WA
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