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General NPI Number Information
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NPI Number | 1528295664
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Entity Type | Organization
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Legal Business Name | AUSTIN RUIZ, O.D.& ASSOCIATES, P.C.
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | 416 N GRAY ST
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City | KILLEEN
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State | TX
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Zip | 76541-5247
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Country | US
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Telephone | 254-634-7805
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Fax | 254-634-1034
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Provider Business Mailing Address
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Address Line | 416 N GRAY ST
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City | KILLEEN
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State | TX
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Zip | 76541-5247
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Country | US
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Telephone | 254-634-7805
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Fax | 254-634-1034
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. DAVID AUSTIN RUIZ
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Credential | O.D
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Telephone | 254-634-7805
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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 | 02936TG
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License Number State | TX
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