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General NPI Number Information
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NPI Number | 1346678299
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Entity Type | Organization
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Legal Business Name | IN FOCUS OPTOMETRY PA
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 7700 E KELLOGG DR STE 703A
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City | WICHITA
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State | KS
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Zip | 67207-1787
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Country | US
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Telephone | 316-247-2020
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Fax | 316-869-2284
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Provider Business Mailing Address
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Address Line | 11416 E PINE MEADOW CT
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City | WICHITA
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State | KS
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Zip | 67206-7202
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Country | US
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Telephone | 316-247-2020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VANLANG Q HUYNH
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Credential | O.D.
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Telephone | 316-247-2020
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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 | 1965
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License Number State | KS
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