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General NPI Number Information
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NPI Number | 1831967637
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Entity Type | Organization
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Legal Business Name | HUYNH FAMILY PROFESSIONAL OPTOMETRY CORP.
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1919 DAVIS ST
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1231
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Country | US
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Telephone | 510-430-9903
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 5TH AVE
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City | OAKLAND
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State | CA
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Zip | 94606-2403
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Country | US
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Telephone | 510-282-5420
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. TRINH NGOC HUYNH
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Credential | OD
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Telephone | 510-282-5420
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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 |
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License Number State |
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