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General NPI Number Information
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NPI Number | 1184607095
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Entity Type | Individual
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Provider Name | VORAPAS THUNYALUKUL OD
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Gender | Female
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1450 W HORIZON RIDGE PKWY STE B306
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City | HENDERSON
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State | NV
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Zip | 89012-4480
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Country | US
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Telephone | 702-309-2020
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Fax | 702-307-3082
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Provider Business Mailing Address
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Address Line | 11051 DESERT HEIGHTS AVE
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City | LAS VEGAS
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State | NV
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Zip | 89135-3641
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Country | US
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Telephone | 714-677-7405
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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 | 12508 TPA
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License Number State | CA
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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 | 447
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License Number State | NV
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