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General NPI Number Information
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NPI Number | 1710872510
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Entity Type | Individual
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Provider Name | CHRISTELLE TUYET MINH NGUYEN OD
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 651 N HIGHWAY 183 STE 265
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City | LEANDER
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State | TX
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Zip | 78641-7012
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Country | US
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Telephone | 512-980-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 10320 BOULDER LN APT 722
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City | AUSTIN
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State | TX
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Zip | 78726-1850
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Country | US
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Telephone | 571-623-1057
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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 | 11432TG
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License Number State | TX
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