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General NPI Number Information
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NPI Number | 1073798914
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Entity Type | Organization
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Legal Business Name | EYE STYLES, PLLC
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 10555 PEALAND PARKWAY SUITE D
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City | HOUSTON
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State | TX
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Zip | 77075
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Country | US
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Telephone | 713-254-6944
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Fax |
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Provider Business Mailing Address
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Address Line | 17503 CABOOSE CT
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City | CROSBY
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State | TX
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Zip | 77532-4050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DR. MELANIE MELANCON
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Credential | O.D.
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Telephone | 713-254-6944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1201X
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Taxonomy Name | Optometric Assistant Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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