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NPI 1124316682

NPI 1124316682 : CECILIA DOAN NGUYEN O.D : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1124316682
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    Entity Type          |    Individual 
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    Provider Name        |    CECILIA DOAN NGUYEN O.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/19/2011
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    Last Update Date     |    09/02/2022
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Provider Practice Location Address
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    Address Line         |    24120 NORTHWEST FWY STE 600 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-5951
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    Country              |    US
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    Telephone            |    281-758-3083
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24120 NORTHWEST FWY STE 600 
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-5951
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    Country              |    US
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    Telephone            |    281-758-3083
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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       |    7777T
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    License Number State |    TX
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