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General NPI Number Information
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NPI Number | 1538434683
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Entity Type | Organization
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Legal Business Name | BROOKS T. GRANT, O.D., PLLC
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Dates
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Enumeration Date | 03/21/2012
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 6382 BUFFALO GAP RD STE E
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City | ABILENE
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State | TX
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Zip | 79606-6099
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Country | US
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Telephone | 325-698-2010
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Fax | 325-692-2025
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Provider Business Mailing Address
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Address Line | 6382 BUFFALO GAP RD STE E
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City | ABILENE
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State | TX
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Zip | 79606-6099
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Country | US
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Telephone | 325-698-2010
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Fax | 325-692-2025
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | BROOKS TRENT GRANT
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Credential | OD
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Telephone | 325-698-2010
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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 | 7554-TG
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License Number State | TX
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