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General NPI Number Information
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NPI Number | 1871634972
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Entity Type | Individual
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Provider Name | THUY VU STRONG O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 5550 STERRETT PL STE 312
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City | COLUMBIA
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State | MD
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Zip | 21044-2628
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Country | US
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Telephone | 410-715-2212
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Fax | 410-715-2214
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Provider Business Mailing Address
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Address Line | 5349 KERGER RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-7013
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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 |
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | TA-1961
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License Number State | MD
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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 | TA1961
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License Number State | MD
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