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General NPI Number Information
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NPI Number | 1770966525
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Entity Type | Individual
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Provider Name | LISA P. NGUYEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 5 DAKOTA DR STE 307
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City | NORTH NEW HYDE PARK
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State | NY
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Zip | 11042-1106
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Country | US
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Telephone | 877-506-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 NE 92ND AVE
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City | VANCOUVER
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State | WA
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Zip | 98664-2429
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Country | US
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Telephone | 408-518-2628
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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 | 33818TLG
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License Number State | CA
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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 | 3622AT
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11390
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD60578976
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4007
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License Number State | MN
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