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General NPI Number Information
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NPI Number | 1003950403
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Entity Type | Individual
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Provider Name | JOHN EDWARD VOSS SR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 622 NW LOOP 410 201 CENTRAL PARK SEARS
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City | SAN ANTONIO
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State | TX
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Zip | 78216-5528
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Country | US
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Telephone | 210-340-0181
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Fax | 210-344-8921
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Provider Business Mailing Address
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Address Line | 15035 KAMARY LN
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City | SAN ANTONIO
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State | TX
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Zip | 78247-5423
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Country | US
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Telephone | 210-657-3422
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Fax | 210-344-8921
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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 | 2428
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License Number State | TX
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