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General NPI Number Information
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NPI Number | 1033503032
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Entity Type | Organization
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Legal Business Name | SANGER EYE CARE, PLLC
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 410 BOLIVAR ST
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City | SANGER
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State | TX
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Zip | 76266-8961
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Country | US
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Telephone | 940-458-3937
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Fax | 940-458-3462
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | SANGER
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State | TX
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Zip | 76266-0909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST MANAGING MEMBER
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Name | DR. ANDREW DALE WARREN
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Credential | OD
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Telephone | 512-618-7095
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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 | 7165TG
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License Number State | TX
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