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General NPI Number Information
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NPI Number | 1063607687
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Entity Type | Organization
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Legal Business Name | NEUROSENSORY CENTER OF BELLAIRE PA
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 5001 BISSONNET ST SUITE 102
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City | BELLAIRE
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State | TX
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Zip | 77401-4025
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Country | US
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Telephone | 713-664-8090
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Fax | 713-664-8078
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Provider Business Mailing Address
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Address Line | 5001 BISSONNET ST SUITE 102
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City | BELLAIRE
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State | TX
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Zip | 77401-4025
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Country | US
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Telephone | 713-664-8090
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Fax | 713-664-8078
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANN W. VOSS
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Credential | O.D.
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Telephone | 713-664-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 4164TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4164TG
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License Number State | TX
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