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General NPI Number Information
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NPI Number | 1548675465
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Entity Type | Individual
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Provider Name | TAMMY MINH VO O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 2007 S 1ST ST SUITE 104
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City | AUSTIN
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State | TX
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Zip | 78704-5141
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Country | US
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Telephone | 512-774-6002
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 WATERLOO CITY LN APT 348
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City | AUSTIN
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State | TX
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Zip | 78741-1107
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Country | US
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Telephone | 512-774-6002
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Fax | 512-774-5975
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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 | 8425T
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License Number State | TX
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