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General NPI Number Information
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NPI Number | 1689125502
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Entity Type | Individual
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Provider Name | KRISTIN UCHIZONO O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 16450 BOLSA CHICA ST
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92649-2603
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Country | US
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Telephone | 714-840-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 18151 PALMETTO CIR
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-5752
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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 | 33599
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License Number State | CA
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