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General NPI Number Information
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NPI Number | 1366881930
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Entity Type | Individual
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Provider Name | SHAHIN EGHANIAN O.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 03/03/2024
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Provider Practice Location Address
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Address Line | 984 GESSNER RD
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City | HOUSTON
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State | TX
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Zip | 77024-2505
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Country | US
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Telephone | 347-456-9795
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Fax |
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Provider Business Mailing Address
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Address Line | 22314 INDIGO PINES LN
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City | KATY
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State | TX
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Zip | 77450-8080
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Country | US
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Telephone | 347-456-9795
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4901005483
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007988
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 9810T
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License Number State | TX
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