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General NPI Number Information
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NPI Number | 1003095704
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Entity Type | Organization
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Legal Business Name | BEE CAVE EYECARE ESSENTIALS, INC.
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 12921 HILL COUNTRY BLVD SUITE #D2-115
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City | BEE CAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 512-275-6354
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Fax | 512-233-2535
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Provider Business Mailing Address
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Address Line | 12921 HILL COUNTRY BLVD SUITE #D2-115
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City | BEE CAVE
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State | TX
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Zip | 78738
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Country | US
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Telephone | 512-275-6354
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Fax | 512-233-2535
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOLAN A BARIT
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Credential | O.D.
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Telephone | 512-919-2535
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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 | 7046T
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License Number State | TX
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