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General NPI Number Information
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NPI Number | 1013975861
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Entity Type | Organization
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Legal Business Name | LUBBOCK OPHTHALMOLOGY ASSOCIATE, P.A.
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 3702 34TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2836
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Country | US
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Telephone | 806-799-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 3702 34TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2836
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Country | US
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Telephone | 806-799-3944
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MING TAO PETER HO
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Credential | M.D.
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Telephone | 806-799-3944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | J3010
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License Number State | TX
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