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General NPI Number Information
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NPI Number | 1134719016
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Entity Type | Organization
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Legal Business Name | LINH LIEN OD, PLLC
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Dates
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Enumeration Date | 01/24/2021
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Last Update Date | 01/24/2021
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Provider Practice Location Address
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Address Line | 500 E BEN WHITE BLVD STE D600
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City | AUSTIN
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State | TX
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Zip | 78704-3263
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Country | US
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Telephone | 512-912-0920
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 MANADA TRL
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City | CEDAR PARK
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State | TX
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Zip | 78641-2740
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Country | US
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Telephone | 832-212-3799
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. LINH TANG
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Credential | OD
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Telephone | 832-212-3799
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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 |
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License Number State |
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