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General NPI Number Information
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NPI Number | 1881092625
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Entity Type | Organization
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Legal Business Name | ACUTE EYECARE, LLC
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 7800 NORTH NAVARRO SUITE 223
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City | VICTORIA
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State | TX
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Zip | 77904-2629
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Country | US
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Telephone | 361-572-0411
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Fax | 361-572-9250
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Provider Business Mailing Address
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Address Line | 7800 NORTH NAVARRO SUITE 223
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City | VICTORIA
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State | TX
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Zip | 77904-2629
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Country | US
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Telephone | 361-572-0411
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Fax | 361-572-9250
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | TIN NGUYEN
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Credential | O.D.
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Telephone | 361-572-0411
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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 | 5830T
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License Number State | TX
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