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General NPI Number Information
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NPI Number | 1073190971
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Entity Type | Organization
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Legal Business Name | NANCY STEPHENS OD PLLC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 03/26/2021
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Provider Practice Location Address
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Address Line | 4030 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77005-1912
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Country | US
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Telephone | 713-665-3827
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Fax |
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Provider Business Mailing Address
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Address Line | 2969 WINTER BERRY CT
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City | PEARLAND
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State | TX
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Zip | 77581-6888
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Country | US
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Telephone | 832-368-4643
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NANCY ESTER STEPHENS
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Credential | OD
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Telephone | 713-665-3827
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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 |
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