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General NPI Number Information
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NPI Number | 1952594640
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Entity Type | Organization
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Legal Business Name | THANHLOAN THI NGUYEN, O.D., P.A.
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Dates
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Enumeration Date | 08/25/2007
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 2000 WESTVIEW BLVD SUITE A
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City | CONROE
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State | TX
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Zip | 77304-3561
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Country | US
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Telephone | 936-494-1359
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Fax | 936-494-1371
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Provider Business Mailing Address
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Address Line | 2000 WESTVIEW BLVD SUITE A
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City | CONROE
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State | TX
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Zip | 77304-3561
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Country | US
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Telephone | 936-494-1359
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Fax | 936-494-1371
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Authorized Official
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Title or Position | DR.
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Name | DR. THANHLOAN RICHTER
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Credential | O.D.
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Telephone | 936-494-1359
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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 | 6092
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License Number State | TX
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