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General NPI Number Information
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NPI Number | 1033396213
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Entity Type | Organization
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Legal Business Name | CLEAR CHOICE EYE CARE, PLLC
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 3836 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77027
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Country | US
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Telephone | 412-973-8745
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22644
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City | HOUSTON
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State | TX
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Zip | 77227-2644
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Country | US
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Telephone | 281-589-2113
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MUNIRA KNAPP
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Credential | OD
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Telephone | 412-973-8745
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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 | 6840TG
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License Number State | TX
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