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General NPI Number Information
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NPI Number | 1649261793
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Entity Type | Individual
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Provider Name | RISCHEL NGUYEN YEH O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 03/21/2008
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Provider Practice Location Address
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Address Line | 654 N SANTA CRUZ AVE SUITE A
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City | LOS GATOS
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State | CA
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Zip | 95030-4360
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Country | US
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Telephone | 408-399-3909
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Fax | 408-399-2600
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Provider Business Mailing Address
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Address Line | 654 N SANTA CRUZ AVE SUITE A
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City | LOS GATOS
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State | CA
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Zip | 95030-4360
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Country | US
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Telephone | 408-399-3909
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Fax | 408-399-2600
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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 | 11518T
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License Number State | CA
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