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General NPI Number Information
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NPI Number | 1366083495
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Entity Type | Organization
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Legal Business Name | VISION GALLERY PLLC
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 1101 S MASON RD
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City | KATY
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State | TX
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Zip | 77450-3842
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Country | US
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Telephone | 832-512-1655
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Fax | 281-398-4515
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Provider Business Mailing Address
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Address Line | 1101 S MASON RD
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City | KATY
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State | TX
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Zip | 77450-3842
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Country | US
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Telephone | 281-398-4000
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Fax | 281-398-4515
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. SAHAR MAHMOODPOUR
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Credential | OD
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Telephone | 832-512-1655
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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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