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General NPI Number Information
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NPI Number | 1972663854
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Entity Type | Individual
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Provider Name | TRICIA SHU-CHUAN SUNG O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19623 HIGHWAY 59 N
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City | HUMBLE
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State | TX
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Zip | 77338-3500
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Country | US
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Telephone | 281-446-0103
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Fax |
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Provider Business Mailing Address
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Address Line | 10511 ALCOTT DR
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City | HOUSTON
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State | TX
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Zip | 77043-2002
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Country | US
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Telephone | 713-467-8379
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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 | 3738TG
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License Number State | TX
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