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General NPI Number Information
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NPI Number | 1639900038
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Entity Type | Organization
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Legal Business Name | MONOCLE EYEWEAR L.L.C.
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Dates
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Enumeration Date | 08/08/2024
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 108 S STANTON ST STE 2A
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City | EL PASO
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State | TX
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Zip | 79901-2403
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Country | US
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Telephone | 915-274-8564
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Fax |
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Provider Business Mailing Address
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Address Line | 108 S STANTON ST STE 2A
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City | EL PASO
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State | TX
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Zip | 79901-2403
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Country | US
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Telephone | 915-920-5272
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPTOMETRIC TECHNICIAN
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Name | NHAN THANH NGUYEN
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Credential |
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Telephone | 915-920-5272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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