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General NPI Number Information
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NPI Number | 1265735898
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Entity Type | Organization
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Legal Business Name | PRECIOUS VISION, LLC
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 20920 KUYKENDAHL RD SUITE C
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City | SPRING
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State | TX
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Zip | 77379-3378
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Country | US
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Telephone | 281-353-3937
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Fax | 281-528-9451
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Provider Business Mailing Address
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Address Line | 20920 KUYKENDAHL RD SUITE C
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City | SPRING
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State | TX
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Zip | 77379-3378
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Country | US
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Telephone | 281-353-3937
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Fax | 281-528-9451
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. KIM THU THI NGUYEN
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Credential | O.D
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Telephone | 281-528-6322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 5264
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License Number State | TX
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