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General NPI Number Information
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NPI Number | 1174767693
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Entity Type | Organization
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Legal Business Name | JOYES ABRAHAM, O.D.
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1601 W STATE HIGHWAY 114
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City | GRAPEVINE
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State | TX
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Zip | 76051-8651
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Country | US
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Telephone | 817-488-3158
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Fax | 817-488-3168
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Provider Business Mailing Address
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Address Line | 1601 W STATE HIGHWAY 114
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City | GRAPEVINE
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State | TX
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Zip | 76051-8651
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Country | US
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Telephone | 817-488-3158
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Fax | 817-488-3168
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Authorized Official
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Title or Position | OPTOMETRIST/
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Name | MS. JOYES K. ABRAHAM
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Credential | O.D.
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Telephone | 817-488-3165
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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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