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General NPI Number Information
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NPI Number | 1053589788
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Entity Type | Organization
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Legal Business Name | FOCUSED EYE CARE, PA
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 3121 N GEORGE BUSH FREEWAY SUITE 101
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City | GARLAND
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State | TX
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Zip | 75040
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Country | US
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Telephone | 214-563-2763
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 N GEORGE BUSH FREEWAY SUITE 101
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City | GARLAND
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State | TX
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Zip | 75040
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Country | US
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Telephone | 214-563-2763
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | SAMANTHA N NAIDOO
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Credential | OD
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Telephone | 214-563-2763
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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 | 6452TG
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License Number State | TX
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