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General NPI Number Information
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NPI Number | 1093206534
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Entity Type | Organization
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Legal Business Name | TRUC NGUYEN, OD AND ASSOCIATES, PLLC
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Dates
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Enumeration Date | 05/21/2018
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 5330 FM 1640 RD
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City | RICHMOND
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State | TX
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Zip | 77469-5435
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Country | US
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Telephone | 281-232-9922
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Fax | 281-232-9927
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Provider Business Mailing Address
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Address Line | 4219 CROW VALLEY DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-4281
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Country | US
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Telephone | 281-793-0721
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Fax | 281-232-9927
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. TRUC NGUYEN
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Credential | O.D.
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Telephone | 281-293-9716
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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 | 5197TG
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License Number State | TX
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