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General NPI Number Information
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NPI Number | 1467659219
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Entity Type | Organization
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Legal Business Name | JOHN J. PEREZ, O.D., P.C
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 03/12/2009
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Provider Practice Location Address
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Address Line | 5544 AIRLINE DR
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City | HOUSTON
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State | TX
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Zip | 77076-4904
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Country | US
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Telephone | 713-692-0667
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Fax | 713-692-0602
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Provider Business Mailing Address
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Address Line | 5544 AIRLINE DR
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City | HOUSTON
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State | TX
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Zip | 77076-4904
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Country | US
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Telephone | 713-692-0667
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Fax |
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Authorized Official
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Title or Position | THERAPUETIC OPTOMETRIST
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Name | DR. JOHN JOSEPH PEREZ
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Credential | O.D.
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Telephone | 713-692-0667
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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 | 3138TG
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License Number State | TX
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