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General NPI Number Information
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NPI Number | 1982093662
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Entity Type | Organization
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Legal Business Name | MYLENE H. NGUYEN, OD, INC.
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Dates
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Enumeration Date | 01/17/2015
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 2001 N ROSE AVE
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City | OXNARD
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State | CA
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Zip | 93036-2681
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Country | US
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Telephone | 805-983-2568
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 N ROSE AVE
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City | OXNARD
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State | CA
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Zip | 93036-2681
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MYLENE H NGUYEN
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Credential | OD
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Telephone | 805-983-2568
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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 | 13355
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License Number State | CA
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