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General NPI Number Information
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NPI Number | 1649550872
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Entity Type | Individual
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Provider Name | VIVIEN AU D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 11/06/2016
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Provider Practice Location Address
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Address Line | 2619 E COLORADO BLVD SUITE 100
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City | PASADENA
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State | CA
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Zip | 91107-3747
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Country | US
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Telephone | 626-793-3475
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Fax |
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Provider Business Mailing Address
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Address Line | 2619 E COLORADO BLVD SUITE 100
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City | PASADENA
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State | CA
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Zip | 91107-3747
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Country | US
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Telephone | 626-793-3475
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OT014234
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS017656
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 20A14980
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License Number State | CA
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