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General NPI Number Information
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NPI Number | 1154693570
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Entity Type | Individual
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Provider Name | IKECHI IKECHI OD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 14405 BELLAIRE BLVD STE B
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City | HOUSTON
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State | TX
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Zip | 77083-7534
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Country | US
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Telephone | 832-717-3937
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Fax | 844-381-9313
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Provider Business Mailing Address
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Address Line | 14405 BELLAIRE BLVD STE B14405
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City | HOUSTON
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State | TX
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Zip | 77083-7533
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Country | US
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Telephone | 832-717-3937
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Fax | 844-381-9313
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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 | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 7797-TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7794-TG
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License Number State | TX
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