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General NPI Number Information
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NPI Number | 1174712483
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Entity Type | Organization
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Legal Business Name | ALH EYE ASSOCIATES
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 910 N DAVIS DR
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City | ARLINGTON
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State | TX
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Zip | 76012-3200
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Country | US
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Telephone | 817-461-0199
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Fax | 817-460-2153
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Provider Business Mailing Address
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Address Line | 2801 LEMMON AVE SUITE 400
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City | DALLAS
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State | TX
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Zip | 75204-2356
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Country | US
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Telephone | 214-754-0000
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Fax | 214-379-1849
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | PAM ANDERSON
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Credential |
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Telephone | 214-754-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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