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General NPI Number Information
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NPI Number | 1104840628
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Entity Type | Organization
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Legal Business Name | BELLAIRE OPTOMETRY CLINIC INC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 8282 BELLAIRE BLVD STE 162
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City | HOUSTON
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State | TX
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Zip | 77036-4032
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Country | US
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Telephone | 713-774-3211
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Fax | 713-774-2130
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Provider Business Mailing Address
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Address Line | 8282 BELLAIRE BLVD. SUITE 162
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City | HOUSTON
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State | TX
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Zip | 77036
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Country | US
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Telephone | 713-774-3211
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Fax | 713-774-2310
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ANNE HUYEN LE
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Credential | O.D.
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Telephone | 713-774-3211
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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 | 4111T
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License Number State | TX
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