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General NPI Number Information
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NPI Number | 1972650737
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Entity Type | Individual
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Provider Name | LAN NGUYEN BATT O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 1855 41ST AVE. #G-11
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City | CAPITOLA
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State | CA
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Zip | 95010
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Country | US
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Telephone | 831-475-6519
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 41ST AVE. #G-11
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City | CAPITOLA
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State | CA
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Zip | 95010
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Country | US
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Telephone | 831-475-6519
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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 | 9918
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License Number State | CA
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