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General NPI Number Information
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NPI Number | 1336123868
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Entity Type | Individual
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Provider Name | NHAT ANH THI HO OD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 6035 PEACHTREE PKWY STE A
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3369
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Country | US
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Telephone | 770-903-4555
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Fax | 770-903-4556
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Provider Business Mailing Address
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Address Line | 6035 PEACHTREE PKWY STE A
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City | NORCROSS
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State | GA
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Zip | 30092-3369
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Country | US
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Telephone | 770-903-4555
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Fax | 770-903-4556
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 002172
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License Number State | GA
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