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General NPI Number Information
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NPI Number | 1356095293
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Entity Type | Organization
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Legal Business Name | NGUYEN VU EYE ASSOCIATES, INC
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 1800 CAVITT DR
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City | FOLSOM
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State | CA
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Zip | 95630-6235
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Country | US
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Telephone | 916-983-1148
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Fax | 916-983-1192
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Provider Business Mailing Address
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Address Line | 9629 RIDGEROCK DR
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City | ELK GROVE
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State | CA
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Zip | 95624-4461
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Country | US
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Telephone | 916-743-8362
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Fax |
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. HAN HUY NGUYEN
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Credential | OD
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Telephone | 916-743-8362
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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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