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General NPI Number Information
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NPI Number | 1164692232
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Entity Type | Organization
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Legal Business Name | A AT T EYECARE, PROFRESSSIONAL ASSOCIATION
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 11169 BEECHNUT ST SUITE H
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City | HOUSTON
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State | TX
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Zip | 77072-4340
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Country | US
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Telephone | 281-530-3331
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Fax | 281-530-3331
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Provider Business Mailing Address
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Address Line | 11169 BEECHNUT STREET SUITE H
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City | HOUSTON
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State | TX
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Zip | 77072-4341
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Country | US
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Telephone | 281-530-3331
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Fax | 281-530-3331
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUE TRAN
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Credential | O.D.
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Telephone | 281-530-3331
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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 | 6321TG
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License Number State | TX
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