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General NPI Number Information
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NPI Number | 1215130869
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Entity Type | Organization
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Legal Business Name | CAROL L SLETTE O.D.
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 11/05/2012
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Provider Practice Location Address
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Address Line | 1616 CLEAR LAKE CITY BLVD STE 103
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City | HOUSTON
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State | TX
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Zip | 77062-8069
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Country | US
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Telephone | 281-286-4343
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Fax | 281-286-4344
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Provider Business Mailing Address
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Address Line | 1616 CLEAR LAKE CITY BLVD STE 103
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City | HOUSTON
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State | TX
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Zip | 77062-8069
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Country | US
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Telephone | 281-286-4343
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Fax | 281-286-4344
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Authorized Official
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Title or Position | OWNER
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Name | CAROL L. SLETTE
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Credential | O.D.
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Telephone | 281-286-4343
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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 | 5062TG
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5584TG
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6062TG
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6785TG
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4344TG
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License Number State | TX
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