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General NPI Number Information
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NPI Number | 1033802590
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Entity Type | Organization
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Legal Business Name | HENRY VU OPTOMETRIST A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 191 W LOOP 1604 S BLDG 1
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City | SAN ANTONIO
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State | TX
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Zip | 78245-4191
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Country | US
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Telephone | 210-868-6740
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Fax | 210-868-6741
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Provider Business Mailing Address
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Address Line | 191 W LOOP 1604 S BLDG 1
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City | SAN ANTONIO
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State | TX
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Zip | 78245-4191
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Country | US
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Telephone | 210-868-6740
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Fax | 210-868-6741
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Authorized Official
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Title or Position | OD/OWNER
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Name | DR. HENRY VU
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Credential | OD
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Telephone | 210-868-6740
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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 |
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License Number State |
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