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General NPI Number Information
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NPI Number | 1861545089
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Entity Type | Individual
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Provider Name | UYEN THU CAO O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5790 W 44TH AVE
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City | DENVER
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State | CO
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Zip | 80212-7340
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Country | US
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Telephone | 303-421-4422
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Fax | 303-431-1457
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Provider Business Mailing Address
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Address Line | 1602 TULLAMORE AVE
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City | BLOOMINGTON
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State | IL
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Zip | 61704-9624
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Country | US
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Telephone | 309-808-3112
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Fax | 312-327-7621
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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 | 2458
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License Number State | CO
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