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General NPI Number Information
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NPI Number | 1508051038
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Entity Type | Organization
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Legal Business Name | CONNER OPTICAL SERVICE INC
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 5400 BELLAIRE #H
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-664-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 BELLAIRE #H
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City | BELLAIRE
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State | TX
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Zip | 77401
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Country | US
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Telephone | 713-664-9961
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | MR. ALAN E CONNER
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Credential | CERTIFIED OPTICIAN
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Telephone | 713-664-9961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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