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General NPI Number Information
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NPI Number | 1356125645
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Entity Type | Organization
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Legal Business Name | NGUYEN-HO OPTOMETRY, PC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 8415 PINE AVE STE 160
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City | CHINO
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State | CA
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Zip | 91708-9640
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Country | US
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Telephone | 617-851-6634
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Fax |
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Provider Business Mailing Address
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Address Line | 13612 MARTINIQUE DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-1365
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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 | DIRECTOR
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Name | DR. LIEN NGUYEN
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Credential | OD
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Telephone | 617-851-6634
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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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