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General NPI Number Information
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NPI Number | 1104319185
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Entity Type | Individual
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Provider Name | EVELYN HIEN NGUYEN-BRINGAS OD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 1055 E BROKAW RD STE 50
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City | SAN JOSE
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State | CA
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Zip | 95131-2318
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Country | US
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Telephone | 408-573-7388
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Fax |
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Provider Business Mailing Address
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Address Line | 620 N 6TH ST APT 1311
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City | SAN JOSE
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State | CA
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Zip | 95112-4330
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Country | US
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Telephone | 408-712-5717
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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 | 33933TLG
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License Number State | CA
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