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General NPI Number Information
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NPI Number | 1477803591
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Entity Type | Organization
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Legal Business Name | HEIGHTS EYECARE AND CONTACT LENS CENTER, PC
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 427 W 20TH ST
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City | HOUSTON
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State | TX
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Zip | 77008-2441
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Country | US
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Telephone | 713-774-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 6910 BELLAIRE BLVD STE 2
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City | HOUSTON
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State | TX
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Zip | 77074-3545
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ALLEN JEFFY CHIN
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Credential | O.D.
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Telephone | 713-922-7267
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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 | 6391TG
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License Number State | TX
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