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General NPI Number Information
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NPI Number | 1336647791
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Entity Type | Organization
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Legal Business Name | FIRST GLANCE VISION LLC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 782 E INTERSTATE 30
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City | ROCKWALL
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State | TX
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Zip | 75087-5503
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Country | US
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Telephone | 214-566-2309
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 BELLERIVE CT
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City | GARLAND
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State | TX
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Zip | 75044-5061
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Country | US
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Telephone | 214-566-2309
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ROSA B HUYNH
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Credential | OD
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Telephone | 214-566-2309
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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 |
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License Number State |
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