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General NPI Number Information
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NPI Number | 1720259070
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Entity Type | Organization
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Legal Business Name | DR. AMY T. DINH, LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 9828 BLUEBONNET BLVD STE E
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City | BATON ROUGE
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State | LA
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Zip | 70810-6461
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Country | US
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Telephone | 225-766-8788
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Fax | 225-766-8003
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Provider Business Mailing Address
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Address Line | 9828 BLUEBONNET BLVD STE E
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City | BATON ROUGE
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State | LA
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Zip | 70810-6461
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Country | US
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Telephone | 225-766-8788
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Fax | 225-766-8003
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Authorized Official
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Title or Position | OPTOMETRIST/ OWNER
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Name | DR. AMY THANH DINH
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Credential | O.D.
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Telephone | 225-766-8788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 1406-544T
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License Number State | LA
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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 | 1406-544T
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License Number State | LA
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