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General NPI Number Information
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NPI Number | 1154958791
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Entity Type | Individual
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Provider Name | NORMAN CHUNG
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Gender | Male
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 293 S MAIN ST STE 100
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City | ORANGE
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State | CA
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Zip | 92868-3843
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Country | US
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Telephone | 714-352-2911
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Fax | 657-221-0805
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Provider Business Mailing Address
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Address Line | 15112 TUNGWOOD ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-6338
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Country | US
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Telephone | 714-653-5338
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Fax | 657-221-0805
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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 | 34622TLG
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License Number State | CA
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