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NPI 1306002001

NPI 1306002001 : AMRITA K BAINS PA : CYPRESS, TX

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General NPI Number Information
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    NPI Number           |    1306002001
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMRITA K BAINS PA 
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Dates
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    Enumeration Date     |    08/01/2008
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    Last Update Date     |    08/21/2014
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Provider Practice Location Address
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    Address Line         |    25905 HIGHWAY 290 SUITE A
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    City                 |    CYPRESS
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    State                |    TX
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    Zip                  |    77429-1004
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    Country              |    US
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    Telephone            |    713-446-6621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8927 ABER TRAIL CT 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77095-4805
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    Country              |    US
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    Telephone            |    713-446-6621
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     AMRITA  BAINS 
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    Credential           |    O.D.
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    Telephone            |    713-446-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    152WS0006X
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    Taxonomy Name        |    Sports Vision Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    152WX0102X
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    Taxonomy Name        |    Occupational Vision Optometrist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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