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General NPI Number Information
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NPI Number | 1144539875
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Entity Type | Organization
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Legal Business Name | PEARLAND EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 8498 S SAM HOUSTON PKWY E 1300
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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 | 832-573-7066
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Fax | 281-580-3933
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Provider Business Mailing Address
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Address Line | 11509 VETERANS MEMORIAL DR 900
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City | HOUSTON
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State | TX
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Zip | 77067-2603
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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 | OFFICE MANAGER
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Name | MY NGUYEN
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Credential |
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Telephone | 832-573-7066
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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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