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General NPI Number Information
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NPI Number | 1407916372
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Entity Type | Individual
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Provider Name | EDMOND J CARSON OPTOMETRIST
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Gender | Male
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 4310 BUFFALO GAP RD STE 1450
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City | ABILENE
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State | TX
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Zip | 79606-2762
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Country | US
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Telephone | 325-692-1627
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Fax | 325-690-9905
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Provider Business Mailing Address
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Address Line | 4310 BUFFALO GAP RD STE 1450
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City | ABILENE
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State | TX
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Zip | 79606-2762
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Country | US
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Telephone | 325-692-1627
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Fax | 325-690-9905
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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 | 6542T
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License Number State | TX
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