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General NPI Number Information
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NPI Number | 1497773311
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Entity Type | Organization
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Legal Business Name | KNOBBE EYE CARE AND LASER CENTER, P.A.
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 1014 MEMORIAL DR STE 312
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City | DENISON
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State | TX
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Zip | 75020-2084
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Country | US
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Telephone | 903-416-6370
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Fax | 903-416-6371
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Provider Business Mailing Address
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Address Line | 1014 MEMORIAL DR STE 312
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City | DENISON
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State | TX
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Zip | 75020-2084
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Country | US
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Telephone | 903-416-6370
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Fax | 903-416-6371
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Authorized Official
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Title or Position | CEO
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Name | DR. CHRIS ALAN KNOBBE
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Credential | M.D.
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Telephone | 903-416-6370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | K0871
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License Number State | TX
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