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General NPI Number Information
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NPI Number | 1427325893
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Entity Type | Organization
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Legal Business Name | HOME EYE CARE ASSOCIATES
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 2818 WHISPERING FERN CT
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City | KINGWOOD
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State | TX
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Zip | 77345-2227
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Country | US
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Telephone | 832-671-1265
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Fax | 888-818-2152
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Provider Business Mailing Address
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Address Line | 2818 WHISPERING FERN CT
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City | KINGWOOD
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State | TX
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Zip | 77345-2227
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Country | US
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Telephone | 832-671-1265
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Fax | 888-818-2152
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MICHAEL PHILIP SORENSEN
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Credential | O.D.
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Telephone | 832-671-1265
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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 | 6106TG
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License Number State | TX
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