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General NPI Number Information
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NPI Number | 1003435348
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Entity Type | Organization
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Legal Business Name | DALLAS LIGHTHOUSE FOR THE BLIND, INC
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1801 VALLEY VIEW LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-8906
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Country | US
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Telephone | 214-420-6552
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Fax | 214-823-6339
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Provider Business Mailing Address
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Address Line | 1801 VALLEY VIEW LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-8906
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Country | US
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Telephone | 214-420-6552
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Fax | 214-823-6339
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Authorized Official
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Title or Position | SR. DIRECTOR REHABILITATION SERVICE
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Name | STACY R FULLER
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Credential |
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Telephone | 316-440-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number |
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License Number State |
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