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General NPI Number Information
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NPI Number | 1366689051
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Entity Type | Organization
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Legal Business Name | DALLAS EYEWORKS INC
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 9225 GARLAND RD STE 2120
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City | DALLAS
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State | TX
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Zip | 75218-3638
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Country | US
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Telephone | 214-660-9830
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Fax |
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Provider Business Mailing Address
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Address Line | 9225 GARLAND RD STE 2120
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City | DALLAS
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State | TX
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Zip | 75218-3638
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Country | US
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Telephone | 214-660-9830
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Fax |
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Authorized Official
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Title or Position | OWNER/PRES.
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Name | DR. CLINT MEYER
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Credential |
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Telephone | 214-660-9830
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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 | 3507TG
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License Number State | TX
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