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General NPI Number Information
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NPI Number | 1194912204
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Entity Type | Individual
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Provider Name | THANHLOAN RICHTER O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 2000 WESTVIEW BLVD
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City | CONROE
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State | TX
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Zip | 77304-3561
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Country | US
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Telephone | 713-466-0824
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Fax |
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Provider Business Mailing Address
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Address Line | 6315 SILVER CHALICE DR
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City | HOUSTON
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State | TX
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Zip | 77088-6424
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Country | US
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Telephone |
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Fax |
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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 | 6092
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License Number State | TX
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