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General NPI Number Information
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NPI Number | 1720340953
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Entity Type | Organization
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Legal Business Name | MISA TRANG HUYNH, O.D., P.A.
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 142 VINTAGE PARK BLVD STE.J
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City | HOUSTON
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State | TX
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Zip | 77070-3997
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Country | US
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Telephone | 281-357-5868
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Fax | 281-583-1117
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Provider Business Mailing Address
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Address Line | 142 VINTAGE PARK BLVD STE.J
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City | HOUSTON
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State | TX
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Zip | 77070-3997
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Country | US
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Telephone | 281-357-5868
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Fax | 281-583-1117
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISA TRANG HUYNH
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Credential | O.D.
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Telephone | 281-357-5868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 5131
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License Number State | TX
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