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General NPI Number Information
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NPI Number | 1659943454
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Entity Type | Organization
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Legal Business Name | HIEU T. NGUYEN, LLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 7187 W OAKLAND PARK BLVD
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City | LAUDERHILL
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State | FL
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Zip | 33313-1050
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Country | US
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Telephone | 954-993-2843
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Fax |
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Provider Business Mailing Address
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Address Line | 3086 SW 138TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-3936
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Country | US
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Telephone | 954-993-2843
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HIEU THI NGUYEN
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Credential | O.D.
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Telephone | 954-993-2843
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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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