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General NPI Number Information
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NPI Number | 1497748388
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Entity Type | Organization
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Legal Business Name | VISION CENTER OF MAGNOLIA, P.C.
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 306 MAGNOLIA BLVD
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City | MAGNOLIA
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State | TX
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Zip | 77355-8535
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Country | US
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Telephone | 281-259-2020
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Fax | 281-259-6866
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Provider Business Mailing Address
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Address Line | 306 MAGNOLIA BLVD
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City | MAGNOLIA
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State | TX
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Zip | 77355-8535
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Country | US
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Telephone | 281-259-2020
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Fax | 281-259-6866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RHONDA MANUEL-SALDIVAR
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Credential | O.D.
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Telephone | 281-259-2020
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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 | 3871TG
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License Number State | TX
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