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General NPI Number Information
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NPI Number | 1407394067
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Entity Type | Organization
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Legal Business Name | ANNY NGUYEN O.D. PLLC
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 7805 N MACARTHUR BLVD STE 101
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City | IRVING
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State | TX
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Zip | 75063-7531
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Country | US
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Telephone | 972-496-0839
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Fax | 214-496-0841
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Provider Business Mailing Address
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Address Line | 3460 W FM 544 STE 550
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City | WYLIE
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State | TX
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Zip | 75098-9408
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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 | PRESIDENT/OPTOMETRIST
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Name | ANNY NGUYEN
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Credential | O.D.
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Telephone | 469-585-4398
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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 | 7727TG
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License Number State | TX
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