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General NPI Number Information
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NPI Number | 1265614960
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Entity Type | Organization
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Legal Business Name | DENISE VO, O.D., P.A.
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 5757 FAIRMONT PKWY
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City | PASADENA
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State | TX
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Zip | 77505-3905
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Country | US
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Telephone | 281-428-1594
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Fax | 281-962-3045
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Provider Business Mailing Address
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Address Line | 2230 VILLAGE DALE AVE
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City | HOUSTON
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State | TX
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Zip | 77059-3590
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Country | US
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Telephone | 832-567-3729
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Fax | 281-962-3045
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE VO
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Credential | O.D.
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Telephone | 832-428-1594
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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 | 05962TG
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License Number State | TX
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