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General NPI Number Information
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NPI Number | 1194938183
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Entity Type | Individual
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Provider Name | DIANE S BERCE O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14215 FM 2100 RD
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City | CROSBY
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State | TX
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Zip | 77532-9152
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Country | US
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Telephone | 281-328-7888
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Fax | 281-328-4892
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Provider Business Mailing Address
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Address Line | 7802 CHINON CIR
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City | HOUSTON
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State | TX
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Zip | 77071-3723
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Country | US
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Telephone | 713-416-7842
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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 | 3610-T
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License Number State | TX
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