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General NPI Number Information
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NPI Number | 1205232964
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Entity Type | Organization
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Legal Business Name | ENVISION EYE CENTER, PLLC
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 1801 E 51ST ST SUITE 360
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City | AUSTIN
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State | TX
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Zip | 78723-3434
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Country | US
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Telephone | 512-599-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 E 51ST ST SUITE 360
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City | AUSTIN
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State | TX
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Zip | 78723-3434
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Country | US
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Telephone | 512-599-0723
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DIMPLE SAWHNEY
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Credential | O.D.
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Telephone | 512-599-0723
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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 | 7276TG
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License Number State | TX
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