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General NPI Number Information
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NPI Number | 1659913804
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Entity Type | Organization
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Legal Business Name | J&J VISION PLLC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 19859 KATY FWY STE E
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City | HOUSTON
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State | TX
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Zip | 77094-1027
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Country | US
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Telephone | 281-398-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 2506 MAXROY ST
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City | HOUSTON
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State | TX
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Zip | 77007-1063
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Country | US
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Telephone | 469-742-3132
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER THU NGUYEN
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Credential | OD
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Telephone | 469-742-3132
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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 |
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License Number State |
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