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General NPI Number Information
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NPI Number | 1053743583
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Entity Type | Organization
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Legal Business Name | EYE DOCTORS
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 207 W HICKORY ST
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City | DENTON
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State | TX
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Zip | 76201-4156
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Country | US
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Telephone | 940-380-8120
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Fax |
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Provider Business Mailing Address
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Address Line | 280 AQUA MARINE DR
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City | OAK POINT
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State | TX
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Zip | 75068-2269
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Country | US
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Telephone | 940-380-8120
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARROLL DAVID DICK
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Credential | OD
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Telephone | 940-380-8120
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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 |
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License Number State | TX
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