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General NPI Number Information
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NPI Number | 1366635831
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Entity Type | Individual
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Provider Name | VINCENT MINH DO O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2007
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 4413 HOFFNER AVE
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City | ORLANDO
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State | FL
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Zip | 32812-2331
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Country | US
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Telephone | 407-207-5310
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Fax | 407-792-1324
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Provider Business Mailing Address
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Address Line | 4413 HOFFNER AVE
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City | ORLANDO
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State | FL
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Zip | 32812-2331
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Country | US
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Telephone | 407-207-5310
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Fax | 407-792-1324
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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 | OPC#3789
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License Number State | FL
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