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General NPI Number Information
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NPI Number | 1205079621
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Entity Type | Organization
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Legal Business Name | TODAY'S VISION BAYBROOK ASSOCIATES PA
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 1209 W BAY AREA BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-3832
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Country | US
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Telephone | 281-338-1919
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Fax | 281-554-5364
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Provider Business Mailing Address
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Address Line | 1209 W BAY AREA BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-3832
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Country | US
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Telephone | 281-338-1919
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Fax | 281-554-5364
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK F. LEE
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Credential | OD
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Telephone | 281-338-1919
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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 | 5779T
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License Number State | TX
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