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General NPI Number Information
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NPI Number | 1104740695
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Entity Type | Individual
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Provider Name | GABRIELLE DAN THANH NGUYEN OD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 9410 SHERIDAN BLVD
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City | WESTMINSTER
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State | CO
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Zip | 80031-6305
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Country | US
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Telephone | 303-429-1382
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Fax |
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Provider Business Mailing Address
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Address Line | 13585 W 64TH PL
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City | ARVADA
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State | CO
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Zip | 80004-2228
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Country | US
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Telephone | 303-429-1382
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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 | OPT.0004250
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License Number State | CO
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