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General NPI Number Information
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NPI Number | 1104017409
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Entity Type | Individual
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Provider Name | MELISSA CATHERINE VANRAY O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 10/29/2013
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Provider Practice Location Address
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Address Line | 11480 SHERIDAN BLVD SUITE 100
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City | WESTMINSTER
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State | CO
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Zip | 80020-3319
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Country | US
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Telephone | 303-404-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 10228 W 52ND PL 304
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City | WHEAT RIDGE
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State | CO
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Zip | 80033-6609
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Country | US
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Telephone | 440-897-0532
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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 | 5721
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T2635
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2999
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License Number State | CO
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