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General NPI Number Information
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NPI Number | 1598233512
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Entity Type | Organization
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Legal Business Name | LARA NGUYEN OD PLLC
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 225 CYPRESSWOOD DR STE A
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City | SPRING
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State | TX
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Zip | 77388-6160
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Country | US
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Telephone | 281-288-4227
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Fax | 713-389-5144
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Provider Business Mailing Address
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Address Line | 225 CYPRESSWOOD DR STE A
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City | SPRING
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State | TX
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Zip | 77388-6160
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Country | US
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Telephone | 281-288-4227
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Fax | 713-389-5144
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | LORI PHILLIPS
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Credential |
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Telephone | 832-217-6690
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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 |
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License Number State |
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