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General NPI Number Information
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NPI Number | 1477020980
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Entity Type | Organization
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Legal Business Name | TEXAS STELLAR OPTOMETRY
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Dates
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Enumeration Date | 11/01/2018
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Last Update Date | 11/01/2018
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Provider Practice Location Address
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Address Line | 1607 W HENDERSON ST
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City | CLEBURNE
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State | TX
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Zip | 76033-4188
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Country | US
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Telephone | 817-645-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 10448 STONESIDE TRL
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City | FORT WORTH
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State | TX
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Zip | 76244-6372
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Country | US
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Telephone | 817-975-6848
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JASON PATRICK HASSETT
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Credential | O.D.
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Telephone | 817-975-6848
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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 |
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License Number State |
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