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General NPI Number Information
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NPI Number | 1891566840
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Entity Type | Organization
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Legal Business Name | ANH NGUYEN OPHTHALMIC SURGERY LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 6402 ARLINGTON BLVD STE 600
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2343
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Country | US
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Telephone | 703-534-4393
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Fax |
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Provider Business Mailing Address
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Address Line | 6402 ARLINGTON BLVD STE 600
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City | FALLS CHURCH
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State | VA
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Zip | 22042-2343
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Country | US
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Telephone | 703-534-4393
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ANH NGUYEN
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Credential | MD
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Telephone | 703-534-4393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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