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General NPI Number Information
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NPI Number | 1306361910
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Entity Type | Individual
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Provider Name | PREETY GREWAL OD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 6464 E NORTHWEST HWY
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City | DALLAS
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State | TX
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Zip | 75214-7800
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Country | US
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Telephone | 469-248-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 1054 MAER DR
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City | ALLEN
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State | TX
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Zip | 75013-2863
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Country | US
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Telephone | 972-974-4045
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9293
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License Number State | TX
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