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General NPI Number Information
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NPI Number | 1437925153
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Entity Type | Individual
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Provider Name | KATELYNN NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 8306 N NAVARRO ST # B
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City | VICTORIA
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State | TX
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Zip | 77904-2600
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Country | US
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Telephone | 361-573-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 8306 N NAVARRO ST # B
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City | VICTORIA
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State | TX
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Zip | 77904-2600
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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 |
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 11019T
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License Number State | TX
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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 | 11019T
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License Number State | TX
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