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General NPI Number Information
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NPI Number | 1104824242
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Entity Type | Individual
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Provider Name | CAREY A PATRICK OD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 1546 STACY RD SUITE 100
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City | ALLEN
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State | TX
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Zip | 75002-8726
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Country | US
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Telephone | 214-383-5400
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Fax | 214-383-5203
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Provider Business Mailing Address
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Address Line | 1546 STACY RD SUITE 100
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City | ALLEN
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State | TX
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Zip | 75002-8726
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Country | US
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Telephone | 214-383-5400
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Fax | 214-383-5203
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 6243TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 6243TG
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number | 6243TG
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 06243TG
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License Number State | TX
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