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General NPI Number Information
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NPI Number | 1194215665
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Entity Type | Individual
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Provider Name | SIMON SHEUNG MAN FUNG MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 490 ILLINOIS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94143-2510
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Country | US
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Telephone | 415-514-3987
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 743749
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City | LOS ANGELES
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State | CA
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Zip | 90074-3749
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Country | US
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Telephone |
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 535
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 535
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | 535
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A174478
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License Number State | CA
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