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NPI 1750874608

NPI 1750874608 : JOSEPH HIEN TRUNG BUI OD : HUNTINGTON BEACH, CA

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General NPI Number Information
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    NPI Number           |    1750874608
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH HIEN TRUNG BUI OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/14/2018
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    Last Update Date     |    12/19/2018
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Provider Practice Location Address
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    Address Line         |    7596 EDINGER AVE 
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    City                 |    HUNTINGTON BEACH
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    State                |    CA
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    Zip                  |    92647-3570
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    Country              |    US
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    Telephone            |    657-329-2729
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    Fax                  |    714-375-7193
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Provider Business Mailing Address
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    Address Line         |    7596 EDINGER AVE 
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    City                 |    HUNTINGTON BEACH
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    State                |    CA
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    Zip                  |    92647-3570
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    Country              |    US
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    Telephone            |    657-329-2729
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    Fax                  |    714-375-7193
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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        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    33952
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    33952
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    33952
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    License Number State |    CA
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