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General NPI Number Information
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NPI Number | 1164654349
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Entity Type | Individual
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Provider Name | LINDA THI NGUYEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 500 SUTTER ST STE 508
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1114
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Country | US
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Telephone | 415-543-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 3814 MORAGA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-3902
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Country | US
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Telephone | 415-860-2345
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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 | 13836
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License Number State | CA
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