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General NPI Number Information
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NPI Number | 1487987541
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Entity Type | Organization
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Legal Business Name | BARKER CYPRESS VISION, P.C.
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 9740 BARKER CYPRESS RD SUITE 112
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City | CYPRESS
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State | TX
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Zip | 77433-1973
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Country | US
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Telephone | 281-550-7900
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Fax | 281-550-7909
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Provider Business Mailing Address
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Address Line | 9740 BARKER CYPRESS RD SUITE 112
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City | CYPRESS
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State | TX
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Zip | 77433-1973
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Country | US
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Telephone | 281-550-7900
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Fax | 281-550-7909
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORAINE RODRIGUEZ PAYAN
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Credential | O.D.
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Telephone | 281-550-7900
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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 | 5501TG
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License Number State | TX
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