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General NPI Number Information
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NPI Number | 1912725532
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Entity Type | Individual
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Provider Name | VALERIA RUBI QUINONES LUZON OD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 770 N COIT RD STE 2486
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City | RICHARDSON
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State | TX
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Zip | 75080-6225
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Country | US
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Telephone | 972-690-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 5109 GILLINGHAM DR
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City | PLANO
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State | TX
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Zip | 75093-4936
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Country | US
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Telephone | 214-405-0430
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11289T
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License Number State | TX
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