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General NPI Number Information
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NPI Number | 1437254976
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Entity Type | Organization
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Legal Business Name | ADVANCED LASER VISION & SURGICAL INSTITUTE
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 11550 FUQUA ST SUITE 250
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City | HOUSTON
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State | TX
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Zip | 77034-4599
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Country | US
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Telephone | 281-464-9616
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Fax | 281-464-9623
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Provider Business Mailing Address
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Address Line | 11550 FUQUA ST SUITE 250
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City | HOUSTON
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State | TX
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Zip | 77034-4599
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Country | US
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Telephone | 281-464-9616
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Fax | 281-464-9623
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM LIPSKY
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Credential | M D
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Telephone | 281-464-9616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E9283
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License Number State | TX
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