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General NPI Number Information
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NPI Number | 1043951189
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Entity Type | Organization
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Legal Business Name | GRAHAM EYE ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 10700 KUYKENDAHL RD STE J
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City | SPRING
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State | TX
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Zip | 77381-2404
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Country | US
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Telephone | 408-966-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 25327 HAWTHORNE BLOSSOM DR
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City | SPRING
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State | TX
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Zip | 77389-4295
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Country | US
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Telephone | 408-966-3772
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TAMMI GRAHAM
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Credential | OD
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Telephone | 408-966-3772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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