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General NPI Number Information
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NPI Number | 1528518032
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Entity Type | Individual
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Provider Name | THU HUA OD
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Gender | Female
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 900 WASHINGTON RD
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City | WEST POINT
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State | NY
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Zip | 10996-1109
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Country | US
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Telephone | 315-774-8510
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Fax | 315-774-8906
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Provider Business Mailing Address
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Address Line | 2335 RAVINE DR
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City | SAN JOSE
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State | CA
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Zip | 95133-1256
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Country | US
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Telephone | 408-772-0114
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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 | 33597
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License Number State | CA
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