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General NPI Number Information
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NPI Number | 1043533565
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Entity Type | Organization
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Legal Business Name | ROBERT THUAN NGUYEN, OD, PA
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 7312 LOUETTA RD B116
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City | SPRING
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State | TX
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Zip | 77379-6176
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Country | US
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Telephone | 832-717-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 7312 LOUETTA RD B116
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City | SPRING
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State | TX
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Zip | 77379-6176
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT NGUYEN
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Credential | OD
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Telephone | 832-717-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 6459TG
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License Number State | TX
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