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General NPI Number Information
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NPI Number | 1669909701
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Entity Type | Individual
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Provider Name | VUON LAY NIM OD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2017
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 3940 BUFORD HWY STE A104
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City | DULUTH
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State | GA
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Zip | 30096-8212
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Country | US
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Telephone | 470-440-4099
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Fax | 470-588-8894
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Provider Business Mailing Address
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Address Line | 3940 BUFORD HWY STE A104
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City | DULUTH
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State | GA
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Zip | 30096-8212
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Country | US
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Telephone | 470-440-4099
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Fax | 470-588-8894
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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 | OPT003030
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPT003030
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License Number State | GA
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