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General NPI Number Information
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NPI Number | 1871224352
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Entity Type | Organization
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Legal Business Name | SUNSET VISION CARE LTD
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1445 W SUNSET RD STE 103
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City | HENDERSON
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State | NV
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Zip | 89014-6674
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Country | US
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Telephone | 650-544-6172
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Fax |
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Provider Business Mailing Address
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Address Line | 7060 S DURANGO DR STE 112
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City | LAS VEGAS
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State | NV
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Zip | 89113-2268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. LISA N DUONG
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Credential | OD
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Telephone | 650-544-6172
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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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