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General NPI Number Information
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NPI Number | 1447694278
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Entity Type | Individual
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Provider Name | JESSIE MARIE VASSAU O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 7761 SHAFFER PKWY STE 200
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City | LITTLETON
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State | CO
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Zip | 80127-3731
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Country | US
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Telephone | 303-979-4505
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Fax | 303-933-0714
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Provider Business Mailing Address
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Address Line | 7761 SHAFFER PKWY STE 200
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City | LITTLETON
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State | CO
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Zip | 80127-3731
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Country | US
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Telephone | 303-979-4505
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Fax | 303-933-0714
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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 | OPT.0003061
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OPT.0003061
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License Number State | CO
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