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General NPI Number Information
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NPI Number | 1689810673
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Entity Type | Organization
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Legal Business Name | ARII & NGUYEN O.D., INC.
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 1709 AUTOMATION PKWY
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City | SAN JOSE
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State | CA
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Zip | 95131-1866
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Country | US
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Telephone | 408-435-7885
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Fax | 408-435-7887
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Provider Business Mailing Address
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Address Line | 59 WASHINGTON STREET STE 328
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City | SANTA CLARA
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State | CA
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Zip | 95050
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Country | US
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Telephone | 408-439-1916
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Fax | 650-625-1689
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANNY NGUYEN
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Credential | O.D.
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Telephone | 408-439-1916
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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 | 11102T
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11277T
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License Number State | CA
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