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General NPI Number Information
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NPI Number | 1962758748
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Entity Type | Individual
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Provider Name | HONG GIA LUU OD
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Gender | Male
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 1122 S ST
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City | FRESNO
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State | CA
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Zip | 93721-1430
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Country | US
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Telephone | 800-492-4227
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Fax |
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Provider Business Mailing Address
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Address Line | 3875 W BEECHWOOD AVE
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City | FRESNO
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State | CA
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Zip | 93711-0795
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Country | US
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Telephone | 800-492-4227
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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 | 14476
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License Number State | CA
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