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General NPI Number Information
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NPI Number | 1275345548
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Entity Type | Organization
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Legal Business Name | AT A GLANCE OPTICAL
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 2465 ROUTE 97 STE 11
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City | GLENWOOD
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State | MD
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Zip | 21738-9749
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Country | US
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Telephone | 443-333-5258
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Fax |
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Provider Business Mailing Address
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Address Line | 2465 ROUTE 97 STE 11
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City | GLENWOOD
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State | MD
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Zip | 21738-9749
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Country | US
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Telephone | 443-333-5258
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | HANG NGUYEN
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Credential | OD
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Telephone | 443-333-5258
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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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