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General NPI Number Information
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NPI Number | 1659900991
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Entity Type | Individual
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Provider Name | LINH HOANG NGUYEN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 5901 E 7TH ST
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City | LONG BEACH
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State | CA
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Zip | 90822-5201
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Country | US
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Telephone | 844-808-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 524 HENLEY PKWY
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City | PATTERSON
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State | CA
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Zip | 95363-8829
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Country | US
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Telephone | 832-370-1534
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Fax |
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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 | 34594
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License Number State | CA
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