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General NPI Number Information
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NPI Number | 1053339044
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Entity Type | Individual
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Provider Name | DAVY MOON CHIN O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 19210 GULF FWY
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2705
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Country | US
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Telephone | 281-286-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 4311 OAK TRAIL CT
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City | SUGAR LAND
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State | TX
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Zip | 77479-3105
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Country | US
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Telephone | 281-286-3088
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2826TG
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License Number State | TX
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