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General NPI Number Information
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NPI Number | 1407985369
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Entity Type | Organization
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Legal Business Name | J. CARL NORRIS, OD PC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 1238 N PACIFIC ST
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City | MINEOLA
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State | TX
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Zip | 75773-1002
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Country | US
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Telephone | 903-569-5432
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Fax | 903-569-2994
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Provider Business Mailing Address
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Address Line | PO BOX 547
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City | MINEOLA
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State | TX
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Zip | 75773-0547
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Country | US
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Telephone | 903-569-5432
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Fax | 903-569-2994
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDY MARK HAWARI
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Credential | OD
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Telephone | 903-569-5432
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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 | 4091TG
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License Number State | TX
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