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General NPI Number Information
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NPI Number | 1356470041
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Entity Type | Organization
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Legal Business Name | TROY C. BECKER, O.D., P.C.
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 8403 LOUETTA RD # 100
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City | SPRING
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State | TX
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Zip | 77379-6737
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Country | US
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Telephone | 832-717-7140
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Fax | 832-717-7142
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Provider Business Mailing Address
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Address Line | 16303 CRETIAN POINT CT
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City | CYPRESS
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State | TX
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Zip | 77429-6824
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Country | US
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Telephone | 281-225-9334
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Fax | 281-225-9335
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TROY CULLEN BECKER
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Credential | O.D.
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Telephone | 281-225-9334
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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 | 4775TG
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License Number State | TX
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