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General NPI Number Information
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NPI Number | 1376318212
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Entity Type | Organization
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Legal Business Name | ROANOKE FAMILY EYECARE CENTER, PLLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 1228 N HIGHWAY 377
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City | ROANOKE
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State | TX
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Zip | 76262-9122
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Country | US
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Telephone | 682-831-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 1485 PRIMROSE PL
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City | HASLET
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State | TX
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Zip | 76052-1813
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Country | US
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Telephone | 817-757-9271
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. BARJINDER GILL
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Credential | OD
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Telephone | 817-757-9271
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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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