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General NPI Number Information
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NPI Number | 1407413149
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Entity Type | Organization
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Legal Business Name | COVA VISION, P.C.
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 525 FIRST COLONIAL RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6119
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Country | US
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Telephone | 757-428-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 3513 BLANCHETTE WAY
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6974
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Country | US
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Telephone | 916-262-6648
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DANIELLE M HUYNH
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Credential | OD
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Telephone | 757-428-1035
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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 |
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License Number State |
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