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General NPI Number Information
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NPI Number | 1225079205
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Entity Type | Individual
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Provider Name | BARRY Y.P. FUNG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 4906 EL CAMINO REAL STE B
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City | LOS ALTOS
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State | CA
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Zip | 94022-1449
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Country | US
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Telephone | 650-967-7834
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Fax |
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Provider Business Mailing Address
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Address Line | 2449 S KING RD STE 10
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City | SAN JOSE
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State | CA
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Zip | 95122-1811
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Country | US
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Telephone | 408-238-1978
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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 | A70770
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License Number State | CA
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