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General NPI Number Information
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NPI Number | 1871840066
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Entity Type | Organization
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Legal Business Name | VALERIE M. SUEY, O.D., PLLC
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 1201 N LOOP 1604 E
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1322
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Country | US
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Telephone | 210-494-1777
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Fax | 210-494-2229
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Provider Business Mailing Address
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Address Line | 1201 N LOOP 1604 E
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1322
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Country | US
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Telephone | 210-494-1777
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Fax | 210-494-2229
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | VALERIE SUEY
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Credential | OD
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Telephone | 949-233-2978
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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 | 7921T
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License Number State | TX
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