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General NPI Number Information
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NPI Number | 1730601444
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Entity Type | Individual
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Provider Name | JOYCE FONG BARRERA OD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 19766 STEVENS CREEK BLVD
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City | CUPERTINO
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State | CA
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Zip | 95014-2456
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Country | US
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Telephone | 408-253-3235
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Fax |
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Provider Business Mailing Address
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Address Line | 1659 RIDGETREE WAY
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City | SAN JOSE
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State | CA
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Zip | 95131-1944
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Country | US
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Telephone | 408-821-5344
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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 | 33768TLG
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License Number State | CA
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