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General NPI Number Information
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NPI Number | 1326434549
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Entity Type | Organization
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Legal Business Name | NOW SEE HERE LLC
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 4560 W MOCKINGBIRD LN STE #124
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City | DALLAS
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State | TX
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Zip | 75209-5204
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Country | US
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Telephone | 214-521-0929
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Fax | 214-751-3360
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Provider Business Mailing Address
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Address Line | 4560 W MOCKINGBIRD LN STE #124
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City | DALLAS
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State | TX
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Zip | 75209-5204
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Country | US
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Telephone | 214-521-0929
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Fax | 214-751-3360
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Authorized Official
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Title or Position | OWNER
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Name | DR. ORVILLE KEITH DISHMAN
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Credential | O.D
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Telephone | 214-521-0929
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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 | 01940TG
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License Number State | TX
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