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General NPI Number Information
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NPI Number | 1356871651
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Entity Type | Individual
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Provider Name | ANNE THU BUI OD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 12715 MAIN ST STE 740
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City | HESPERIA
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State | CA
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Zip | 92345-9133
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Country | US
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Telephone | 714-260-5310
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 W HOUSTON AVE
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City | FULLERTON
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State | CA
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Zip | 92833-4468
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13045766-9934
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License Number State | UT
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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 | 33710TLG
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1979-925AT
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License Number State | LA
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