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General NPI Number Information
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NPI Number | 1730569617
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Entity Type | Organization
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Legal Business Name | DAVID D NGUYEN OD PLLC
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 11/17/2016
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Provider Practice Location Address
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Address Line | 6614 GULF FRWY
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City | LA MARQUE
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State | TX
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Zip | 77568
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Country | US
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Telephone | 409-877-9682
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Fax | 409-750-7133
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Provider Business Mailing Address
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Address Line | 6614 GULF FRWY
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City | LA MARQUE
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State | TX
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Zip | 77568
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Country | US
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Telephone | 409-877-9682
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Fax | 409-750-7133
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Authorized Official
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Title or Position | OWNER
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Name | DAVID NGUYEN
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Credential | O.D.
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Telephone | 281-682-4725
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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 | 8533TG
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License Number State | TX
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