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General NPI Number Information
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NPI Number | 1336476803
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Entity Type | Organization
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Legal Business Name | RENEE TOMES DUNLAP, OD, PLLC
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 11/04/2009
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Provider Practice Location Address
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Address Line | 21019 US HWY 281 SUITE 832
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-698-0639
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Fax |
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Provider Business Mailing Address
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Address Line | 27815 WOODLAND GREEN
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City | BOERNE
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State | TX
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Zip | 78015
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Country | US
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Telephone | 210-698-0639
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Fax |
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Authorized Official
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Title or Position | MANAGER/OPTOMETRIST
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Name | DR. RENEE TOMES DUNLAP
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Credential | OD
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Telephone | 210-698-0639
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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 | 7303TG
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License Number State | TX
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