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General NPI Number Information
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NPI Number | 1679463384
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Entity Type | Individual
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Provider Name | LENA YEN LUU OD
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Gender | Female
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Dates
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Enumeration Date | 07/04/2025
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Last Update Date | 07/04/2025
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Provider Practice Location Address
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Address Line | 3935 BEACON AVE STE A
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City | FREMONT
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State | CA
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Zip | 94538-1458
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Country | US
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Telephone | 510-792-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 657 HERMITAGE WAY
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City | SAN JOSE
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State | CA
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Zip | 95134-1330
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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 | 36028
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License Number State | CA
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