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NPI 1366496044

NPI 1366496044 : LINH A. NGO O.D. : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1366496044
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    Entity Type          |    Individual 
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    Provider Name        |    LINH A. NGO O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2006
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    Last Update Date     |    02/18/2022
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Provider Practice Location Address
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    Address Line         |    625 34TH ST STE 100&200 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-2305
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    Country              |    US
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    Telephone            |    833-678-2781
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    Fax                  |    661-368-0618
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1559 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93302-1559
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    Country              |    US
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    Telephone            |    661-635-3050
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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       |    12626T
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    License Number State |    CA
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