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General NPI Number Information
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NPI Number | 1932554482
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Entity Type | Organization
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Legal Business Name | VU EYE CARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 05/03/2016
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Provider Practice Location Address
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Address Line | 41650 W MARICOPA CASA GRANDE HWY
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City | MARICOPA
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State | AZ
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Zip | 85138-3206
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Country | US
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Telephone | 520-568-0849
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 E GLACIER PL
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City | CHANDLER
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State | AZ
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Zip | 85249-2912
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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 | OWNER
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Name | QUANG NHU VU
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Credential | O.D.
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Telephone | 480-760-5518
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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 | T1272
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License Number State | AZ
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