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General NPI Number Information
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NPI Number | 1346474335
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Entity Type | Organization
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Legal Business Name | SAGE EYE CARE SERVICES
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 12901 N. I 35 SERVICE RD. BUILDING 3 UNIT 300
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City | AUSTIN
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State | TX
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Zip | 78753
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Country | US
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Telephone | 512-970-3937
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Fax | 888-310-6367
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Provider Business Mailing Address
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Address Line | 300 WEST AVE #3324
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City | AUSTIN
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State | TX
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Zip | 78701-3840
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Country | US
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Telephone | 512-970-3937
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Fax | 888-310-6367
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. TAMLA MARIE CARBY
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Credential | O.D.
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Telephone | 512-970-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 7349T
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License Number State | TX
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