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General NPI Number Information
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NPI Number | 1326240763
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Entity Type | Organization
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Legal Business Name | MATHEWS & MATHEWS OPT INC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 11/02/2013
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Provider Practice Location Address
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Address Line | 2490 7TH ST BLDG 372
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-7613
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Country | US
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Telephone | 210-223-1104
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Fax | 210-223-3810
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Provider Business Mailing Address
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Address Line | PO BOX 340399
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City | SAN ANTONIO
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State | TX
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Zip | 78234-0399
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Country | US
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Telephone | 210-223-1104
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Fax | 210-223-3810
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Authorized Official
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Title or Position | OWNER
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Name | DR. RENU ELSA MATHEW
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Credential | O.D.
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Telephone | 210-223-1104
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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 | 6942T
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License Number State | TX
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