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General NPI Number Information
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NPI Number | 1235459660
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Entity Type | Organization
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Legal Business Name | BYNUM EYE CARE P A
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 05/15/2014
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Provider Practice Location Address
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Address Line | 650 N. HWY 377
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City | WHITESBORO
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State | TX
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Zip | 76273
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Country | US
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Telephone | 903-564-9100
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Fax | 903-564-9800
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Provider Business Mailing Address
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Address Line | 650 N. HWY 377
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City | WHITESBORO
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State | TX
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Zip | 76273
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Country | US
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Telephone | 903-564-9100
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Fax | 903-564-9800
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN BYNUM
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Credential | OD
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Telephone | 281-642-3516
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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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