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General NPI Number Information
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NPI Number | 1003129784
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF THE INCARNATE WORD
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 9725 DATAPOINT DR
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2384
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Country | US
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Telephone | 210-883-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 9725 DATAPOINT DR # 69
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2384
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Country | US
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Telephone | 210-805-2540
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Fax |
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Authorized Official
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Title or Position | ASSISTANT DEAN FOR CLINICAL AFFAIRS
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Name | DR. NEKIMA WILLIAMS
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Credential | OD
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Telephone | 210-283-6827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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