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General NPI Number Information
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NPI Number | 1497031660
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Entity Type | Individual
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Provider Name | ANH-THY N. HUYNH MS, OD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 1569 LEXANN AVE STE 124
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City | SAN JOSE
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State | CA
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Zip | 95121-1794
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Country | US
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Telephone | 408-440-4556
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Fax | 408-440-4558
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Provider Business Mailing Address
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Address Line | 1569 LEXANN AVE SUITE 124
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City | SAN JOSE
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State | CA
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Zip | 95121-1794
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Country | US
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Telephone | 408-440-4556
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Fax | 408-440-4558
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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 | 14327 TLG
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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 | 002541
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License Number State | AZ
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