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General NPI Number Information
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NPI Number | 1124717996
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Entity Type | Individual
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Provider Name | DAVID DINH OD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 132 SOUTHMORE AVE
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City | PASADENA
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State | TX
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Zip | 77502-1018
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Country | US
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Telephone | 281-445-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 UNIVERSITY BLVD G080A
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0010
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Country | US
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Telephone | 205-975-2020
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Fax | 205-934-6755
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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 | 10846TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T-257-TA-C91
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License Number State | AL
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