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General NPI Number Information
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NPI Number | 1689597346
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Entity Type | Individual
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Provider Name | MELINDA MONG-THUY DOAN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 5171 CITRUS BLVD
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City | HARAHAN
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State | LA
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Zip | 70123-2342
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Country | US
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Telephone | 504-818-0669
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Fax |
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Provider Business Mailing Address
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Address Line | 160 NOEL DR
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City | AVONDALE
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State | LA
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Zip | 70094-2964
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Country | US
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Telephone | 504-358-1781
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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 | 2084-031AT
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License Number State | LA
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