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General NPI Number Information
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NPI Number | 1457705808
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Entity Type | Individual
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Provider Name | DZUY V BI OD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 82 INAOKACHO
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City | YOKOSUKA
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State | KANAGAWA
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Zip | 2380002
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Country | JP
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Telephone | 315-243-5371
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 475 BOX 1529
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City | FPO
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State | AP
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Zip | 96350-1529
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Country | US
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Telephone | 315-243-5371
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Fax |
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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 | 919
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 33934
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License Number State | CA
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