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General NPI Number Information
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NPI Number | 1952331449
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Entity Type | Individual
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Provider Name | DUYEN B LE OD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 09/29/2016
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Provider Practice Location Address
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Address Line | 3869 STOCKDALE HIGHWAY
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City | BAKERSFIELD
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State | CA
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Zip | 93309
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Country | US
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Telephone | 661-831-8952
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Fax | 661-831-5042
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Provider Business Mailing Address
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Address Line | 10660 SOUTHERN HIGHLANDS PKWY STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89141-4113
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Country | US
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Telephone | 714-767-5785
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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 | 12403T
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License Number State | CA
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