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General NPI Number Information
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NPI Number | 1225419583
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Entity Type | Organization
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Legal Business Name | ANDREW CU-UNJIENG, M.D.
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 4060 FOURTH AVE STE 405
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City | SAN DIEGO
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State | CA
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Zip | 92103-2121
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Country | US
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Telephone | 619-297-9131
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Fax | 619-297-6375
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Provider Business Mailing Address
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Address Line | 4060 FOURTH AVE STE 405
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City | SAN DIEGO
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State | CA
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Zip | 92103-2121
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Country | US
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Telephone | 619-297-9131
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Fax | 619-297-6375
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW CU-UNJIENG
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Credential | M.D.
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Telephone | 619-297-9131
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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 |
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License Number State |
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