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General NPI Number Information
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NPI Number | 1275141285
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Entity Type | Organization
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Legal Business Name | NAYFACH OPTOMETRY PLLC
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 1441 WOODSTEAD CT STE 110
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1449
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Country | US
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Telephone | 281-944-3937
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Fax | 281-721-4433
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Provider Business Mailing Address
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Address Line | 1441 WOODSTEAD CT STE 110
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1449
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Country | US
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Telephone | 281-944-3937
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Fax | 281-721-4433
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Authorized Official
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Title or Position | CONSULTANT
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Name | EUDE A OSSORIO
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Credential | CONSULTANT
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Telephone | 662-510-2941
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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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