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General NPI Number Information
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NPI Number | 1265683072
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Entity Type | Organization
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Legal Business Name | DR DAVID J BAPTISTE THERAPEUTIC OPTOMETRIST, PLLC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 07/05/2012
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Provider Practice Location Address
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Address Line | 3515 SYCAMORE SCHOOL RD SUITE 145
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City | FORT WORTH
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State | TX
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Zip | 76133-7825
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Country | US
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Telephone | 817-361-8440
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Fax | 817-361-8335
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Provider Business Mailing Address
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Address Line | 3515 SYCAMORE SCHOOL RD SUITE 145
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City | FORT WORTH
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State | TX
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Zip | 76133-7825
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Country | US
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Telephone | 817-361-8440
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Fax | 817-361-8335
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Authorized Official
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Title or Position | MEMBER
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Name | DR. DAVID J BAPTISTE
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Credential | O.D.
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Telephone | 817-637-2888
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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 | 6879T
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License Number State | TX
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