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General NPI Number Information
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NPI Number | 1477923035
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Entity Type | Organization
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Legal Business Name | HD EYECARE, PLLC
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 6000 DENTON HWY 100
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City | WATAUGA
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State | TX
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Zip | 76148-3428
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Country | US
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Telephone | 682-325-2115
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Fax | 817-393-4797
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Provider Business Mailing Address
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Address Line | 6000 DENTON HWY SUITE 100
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City | WATAUGA
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State | TX
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Zip | 76148-3428
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Country | US
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Telephone | 682-325-2115
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Fax | 817-393-4797
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. PHU HIEP THI DOAN
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Credential | O.D.
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Telephone | 682-325-2115
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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 | 7753TG
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License Number State | TX
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