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General NPI Number Information
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NPI Number | 1710907118
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Entity Type | Organization
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Legal Business Name | SON NGUYEN, O.D., INC.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 01/08/2013
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Provider Practice Location Address
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Address Line | 9100 ROSEDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2143
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Country | US
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Telephone | 661-589-9870
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 ROSEDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2143
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. SON NGUYEN
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Credential | O.D.
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Telephone | 661-589-9870
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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 | CA11195T
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License Number State | CA
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