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General NPI Number Information
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NPI Number | 1942685086
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Entity Type | Individual
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Provider Name | ANTHONY NGUYEN O.D
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Gender | Male
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 02/01/2016
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Provider Practice Location Address
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Address Line | 3385 NAAMAN SCHOOL RD
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City | GARLAND
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State | TX
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Zip | 75040-8717
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Country | US
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Telephone | 281-451-4976
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Fax |
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Provider Business Mailing Address
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Address Line | 3385 NAAMAN SCHOOL RD
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City | GARLAND
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State | TX
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Zip | 75040-8717
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Country | US
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Telephone | 972-496-2020
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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 | 8709T
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License Number State | TX
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