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General NPI Number Information
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NPI Number | 1306024369
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Entity Type | Organization
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Legal Business Name | WALNUT HILL OPTICAL
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 8210 WALNUT HILL LN SUITE 111
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City | DALLAS
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State | TX
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Zip | 75231-4405
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Country | US
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Telephone | 214-369-7388
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Fax | 214-369-5829
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Provider Business Mailing Address
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Address Line | 8210 WALNUT HILL LN SUITE 111
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City | DALLAS
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State | TX
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Zip | 75231-4405
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Country | US
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Telephone | 214-369-7388
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Fax | 214-369-5829
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Authorized Official
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Title or Position | OPTICIAN
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Name | MS. JOYCE GOFF
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Credential |
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Telephone | 214-369-7388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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