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General NPI Number Information
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NPI Number | 1730465147
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Entity Type | Organization
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Legal Business Name | VAN VO, O.D., PLLC
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Dates
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Enumeration Date | 10/30/2011
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Last Update Date | 10/30/2011
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Provider Practice Location Address
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Address Line | 2200 DALLAS PKWY SUITE 330
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City | PLANO
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State | TX
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Zip | 75093-4300
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Country | US
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Telephone | 972-378-0871
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Fax | 972-378-7918
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Provider Business Mailing Address
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Address Line | PO BOX 851052
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City | RICHARDSON
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State | TX
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Zip | 75085-1052
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Country | US
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Telephone | 972-378-0871
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Fax | 972-378-7918
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAN VO
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Credential | O.D.
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Telephone | 972-378-0871
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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 | 7751TG
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License Number State | TX
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