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General NPI Number Information
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NPI Number | 1659606044
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Entity Type | Organization
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Legal Business Name | LONG DUY NGUYEN OD PA
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 10953 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77042-3203
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Country | US
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Telephone | 713-774-3093
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Fax |
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Provider Business Mailing Address
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Address Line | 10953 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77042-3203
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Country | US
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Telephone | 713-774-3093
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. LONG DUY NGUYEN
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Credential | O.D.
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Telephone | 713-774-3093
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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 | 06456TG
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License Number State | TX
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