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General NPI Number Information
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NPI Number | 1568575264
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Entity Type | Organization
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Legal Business Name | TONY D. VU, O.D., INC
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 12/14/2018
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Provider Practice Location Address
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Address Line | 18430 BROOKHURST ST STE 100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6726
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Country | US
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Telephone | 714-968-9121
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Fax | 714-962-6521
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Provider Business Mailing Address
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Address Line | 18430 BROOKHURST ST STE 100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6726
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Country | US
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Telephone | 714-968-9121
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Fax | 714-962-6521
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONY DUY VU
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Credential | O.D.
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Telephone | 714-963-8349
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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 | 11285TPL
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License Number State | CA
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