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General NPI Number Information
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NPI Number | 1457541559
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Entity Type | Individual
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Provider Name | JENNY P HUNG O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 1827 WALNUT GROVE AVE
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City | ROSEMEAD
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State | CA
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Zip | 91770-3789
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Country | US
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Telephone | 626-312-2712
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Fax |
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Provider Business Mailing Address
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Address Line | 2827 GINGER CT
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City | FULLERTON
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State | CA
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Zip | 92835-4326
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Country | US
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Telephone | 714-425-4005
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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 | 13252TLG
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License Number State | CA
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