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General NPI Number Information
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NPI Number | 1235045840
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Entity Type | Organization
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Legal Business Name | IEA CHELSEA LLC
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 175 W 12TH ST OFC 1A
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City | NEW YORK
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State | NY
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Zip | 10011-8275
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Country | US
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Telephone | 347-881-5087
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Fax |
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Provider Business Mailing Address
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Address Line | 175 W 12TH ST OFC 1A
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City | NEW YORK
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State | NY
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Zip | 10011-8275
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ALLISON NGUYEN
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Credential | OD
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Telephone | 714-417-1605
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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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