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General NPI Number Information
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NPI Number | 1245853407
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Entity Type | Organization
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Legal Business Name | DANA VO OD, LTD
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 5195 S FORT APACHE RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89148-1765
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Country | US
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Telephone | 714-225-3876
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Fax |
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Provider Business Mailing Address
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Address Line | 7877 SIRENS SONG CT
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City | LAS VEGAS
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State | NV
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Zip | 89139-6403
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Country | US
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Telephone | 714-225-3876
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DANA VO
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Credential | OD
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Telephone | 714-225-3876
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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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