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General NPI Number Information
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NPI Number | 1962020941
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Entity Type | Individual
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Provider Name | CAROLINE BUI OD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 2850 N OXNARD BLVD
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City | OXNARD
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State | CA
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Zip | 93036-5443
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Country | US
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Telephone | 805-530-5835
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Fax |
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Provider Business Mailing Address
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Address Line | 2490 LITA PL
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2511
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Country | US
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Telephone | 805-304-1609
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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 | OPT34567-TLG
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License Number State | CA
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