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General NPI Number Information
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NPI Number | 1508191933
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Entity Type | Organization
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Legal Business Name | DR CLARISSA DE PAZ
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Dates
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Enumeration Date | 10/02/2009
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Last Update Date | 10/02/2009
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Provider Practice Location Address
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Address Line | 1681 N CENTRAL EXPY STE 400-B
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City | MCKINNEY
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State | TX
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Zip | 75070-3111
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Country | US
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Telephone | 972-365-3957
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Fax |
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Provider Business Mailing Address
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Address Line | 1681 N CENTRAL EXPY STE 400-B
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City | MCKINNEY
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State | TX
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Zip | 75070-3111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. CLARISSA J DE PAZ
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Credential | OD
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Telephone | 975-365-3957
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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 | 3253
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License Number State | TX
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