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General NPI Number Information
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NPI Number | 1003874116
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Entity Type | Organization
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Legal Business Name | REFRACTIVE PRECISION LASER CENTER LP
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 7150 GREENVILLE AVE SUITE 250 GREENVILLE MEDICAL TOWER
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City | DALLAS
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State | TX
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Zip | 75231-7900
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Country | US
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Telephone | 241-890-9883
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 GREENVILLE AVE SUITE 250 GREENVILLE MEDICAL TOWER
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City | DALLAS
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State | TX
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Zip | 75231-7900
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Country | US
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Telephone | 241-890-9883
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIMBERLY WOOD
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Credential |
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Telephone | 828-236-3027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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