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General NPI Number Information
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NPI Number | 1447444500
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Entity Type | Organization
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Legal Business Name | DR PAULA EMERSON OD
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 6301 NW LOOP 410 STE 21A
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City | SAN ANTONIO
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State | TX
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Zip | 78238-3824
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Country | US
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Telephone | 210-680-6097
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Fax | 210-509-4749
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Provider Business Mailing Address
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Address Line | 6301 NW LOOP 410 STE 21A
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City | SAN ANTONIO
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State | TX
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Zip | 78238-3824
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Country | US
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Telephone | 210-680-6097
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Fax | 210-509-4749
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Authorized Official
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Title or Position | DOCTOR /OWNER
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Name | DR. PAULA N EMRSON
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Credential | OD
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Telephone | 210-680-6097
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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 | TX5203
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License Number State | TX
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