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General NPI Number Information
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NPI Number | 1215735154
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Entity Type | Organization
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Legal Business Name | FAUST EYE CARE LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 8030 BANDERA RD STE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78250-5130
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Country | US
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Telephone | 210-793-8796
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Fax |
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Provider Business Mailing Address
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Address Line | 10278 JUNIPER OAKS
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City | BOERNE
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State | TX
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Zip | 78006-2491
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Country | US
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Telephone | 479-790-5348
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZACHARY FAUST
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Credential | OD
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Telephone | 479-790-5348
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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 |
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License Number State |
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