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General NPI Number Information
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NPI Number | 1699890756
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Entity Type | Individual
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Provider Name | CURT CUONG NGUYEN OPTOMETRIST
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2800 INDEPENDENCE DR
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City | LIVERMORE
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State | CA
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Zip | 94551-7628
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Country | US
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Telephone | 925-960-0248
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Fax | 925-960-0258
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Provider Business Mailing Address
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Address Line | 1067 HAY CT
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City | MILPITAS
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State | CA
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Zip | 95035-6965
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Country | US
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Telephone | 408-934-1226
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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 | 11574T
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License Number State | CA
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