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General NPI Number Information
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NPI Number | 1942490305
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Entity Type | Individual
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Provider Name | THUY THANH NGUYEN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 102 WOODLAND HWY STE 10
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1674
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Country | US
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Telephone | 504-393-0002
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Fax | 504-392-0770
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Provider Business Mailing Address
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Address Line | 102 WOODLAND HWY STE 10
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City | BELLE CHASSE
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State | LA
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Zip | 70037-1674
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Country | US
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Telephone | 504-393-0002
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Fax | 504-392-0770
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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 | 1545-575T
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License Number State | LA
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