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General NPI Number Information
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NPI Number | 1598074783
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Entity Type | Organization
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Legal Business Name | VINSON E. NANCE
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 11365 MONTWOOD DR SUITE D
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City | EL PASO
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State | TX
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Zip | 79936-3867
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Country | US
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Telephone | 915-857-3997
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Fax | 915-857-1203
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Provider Business Mailing Address
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Address Line | 11365 MONTWOOD DR SUITE D
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City | EL PASO
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State | TX
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Zip | 79936-3867
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Country | US
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Telephone | 915-857-3997
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Fax | 915-857-1203
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. VINSON E NANCE
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Credential | O.D.
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Telephone | 915-857-3997
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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 | 2742TG
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License Number State | TX
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