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General NPI Number Information
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NPI Number | 1285005660
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Entity Type | Individual
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Provider Name | THANH-TRINH DOAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 2322 RUTHERFORD RD.
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City | CARLSBAD
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State | CA
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Zip | 92008
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Country | US
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Telephone | 760-444-9682
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 NORTHSTAR WAY APT. 201
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City | SAN MARCOS
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State | CA
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Zip | 92078-0936
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Country | US
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Telephone | 980-253-1573
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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 | 15435
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License Number State | CA
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