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General NPI Number Information
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NPI Number | 1467613018
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Entity Type | Organization
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Legal Business Name | UPPER VALLEY EYE SITE
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 2200 TRENTON RD SUITE 2B
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City | MCALLEN
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State | TX
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Zip | 78504-6354
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Country | US
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Telephone | 956-687-4011
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Fax | 956-687-4611
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Provider Business Mailing Address
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Address Line | 2200 TRENTON RD SUITE 2B
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City | MCALLEN
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State | TX
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Zip | 78504-6354
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Country | US
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Telephone | 956-687-4011
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Fax | 956-687-4611
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ROBERT SALDANA
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Credential | O.D.
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Telephone | 956-687-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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