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General NPI Number Information
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NPI Number | 1396212130
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Entity Type | Individual
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Provider Name | HUY QUANG DINH OD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 355 STONEBROOK PKWY
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City | FRISCO
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State | TX
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Zip | 75036-3076
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Country | US
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Telephone | 945-348-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 2456 CATHEDRAL DR
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City | RICHARDSON
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State | TX
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Zip | 75080-0041
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Country | US
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Telephone | 210-833-2681
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Fax | 945-348-9750
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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 | 9497
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License Number State | TX
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