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General NPI Number Information
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NPI Number | 1225380587
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Entity Type | Organization
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Legal Business Name | EL PASO EYECARE PLLC
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Dates
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Enumeration Date | 10/11/2012
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 9009 GATEWAY BLVD. SOUTH
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City | EL PASO
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State | TX
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Zip | 79904
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Country | US
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Telephone | 915-751-7760
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Fax | 915-751-2376
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Provider Business Mailing Address
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Address Line | 8894 GATEWAY N BLVD
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City | EL PASO
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State | TX
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Zip | 79904
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Country | US
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Telephone | 915-751-7760
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Fax | 210-957-8547
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Authorized Official
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Title or Position | OD/OWNER
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Name | DIPAK T. PATEL
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Credential | OD
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Telephone | 915-751-7760
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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 | 5944TG
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License Number State | TX
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