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NPI 1174569750

NPI 1174569750 : SHIROZ VIRANI O.D. : KATY, TX

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General NPI Number Information
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    NPI Number           |    1174569750
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    Entity Type          |    Individual 
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    Provider Name        |    SHIROZ VIRANI O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2006
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    Last Update Date     |    05/12/2021
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Provider Practice Location Address
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    Address Line         |    23702 WESTHEIMER PKWY SUITE C
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    City                 |    KATY
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    State                |    TX
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    Zip                  |    77494-3605
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    Country              |    US
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    Telephone            |    281-391-2020
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    Fax                  |    281-391-0746
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Provider Business Mailing Address
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    Address Line         |    1950 OLD GALLOWS RD STE 520 
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    City                 |    VIENNA
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    State                |    VA
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    Zip                  |    22182-3970
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    Country              |    US
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    Telephone            |    703-847-8899
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    Fax                  |    571-223-6780
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    04038TG
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    License Number State |    TX
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