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General NPI Number Information
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NPI Number | 1427497692
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Entity Type | Organization
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Legal Business Name | MONIKA S HEDA O.D & ASSOCIATES
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 725 HEBRON PKWY
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City | LEWISVILLE
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State | TX
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Zip | 75057-5001
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Country | US
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Telephone | 972-956-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 2606 SHELBY AVE 301
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City | DALLAS
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State | TX
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Zip | 75219-4024
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Country | US
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Telephone | 901-734-1175
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MONIKA SAINI HEDA
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Credential | O.D.
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Telephone | 901-734-1175
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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 | 7689
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License Number State | TX
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