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General NPI Number Information
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NPI Number | 1407046386
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Entity Type | Individual
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Provider Name | GIAP NGUYEN LE O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 9191 WESTMINSTER AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92844-2751
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Country | US
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Telephone | 714-698-8100
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Fax | 714-698-8101
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Provider Business Mailing Address
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Address Line | 17532 TEACHERS AVE
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City | IRVINE
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State | CA
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Zip | 92614-6654
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Country | US
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Telephone | 949-232-6139
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Fax | 949-387-6406
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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 | 13265
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ML1792058
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License Number State | CA
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