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General NPI Number Information
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NPI Number | 1821347907
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Entity Type | Organization
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Legal Business Name | PUREVUE VISION CARE, LLC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 6050 PEACHTREE PARKWAY SUITE 210
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City | NORCROSS
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State | GA
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Zip | 30092
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Country | US
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Telephone | 678-557-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 6035 PEACHTREE PKWY STE A
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City | PEACHTREE CORNERS
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State | GA
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Zip | 30092-3369
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Country | US
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Telephone | 770-903-4555
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Fax | 770-903-4556
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Authorized Official
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Title or Position | MANAGER
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Name | DR. NHAT ANH THI HO
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Credential | OD
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Telephone | 770-903-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT002172
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License Number State | GA
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