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General NPI Number Information
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NPI Number | 1336785740
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Entity Type | Organization
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Legal Business Name | ILUVICARE, PLLC
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 7710 FRY RD STE 600
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City | CYPRESS
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State | TX
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Zip | 77433-7335
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Country | US
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Telephone | 832-607-2055
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Fax |
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Provider Business Mailing Address
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Address Line | 20023 NEW SUNRISE TRL
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City | CYPRESS
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State | TX
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Zip | 77433-7031
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Country | US
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Telephone | 832-607-2055
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEJAL PATEL-DARNE
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Credential | OD
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Telephone | 832-607-2055
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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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