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General NPI Number Information
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NPI Number | 1396053237
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Entity Type | Organization
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Legal Business Name | DV EYE CENTER, LLC
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 01/22/2015
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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 |
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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 |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. VINCENT MINH DO
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Credential | O.D.
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Telephone | 407-207-5310
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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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