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General NPI Number Information
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NPI Number | 1538570866
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Entity Type | Organization
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Legal Business Name | EDWARD A. MAKLER
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 1332 S PLANO RD SUITE 112
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City | RICHARDSON
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State | TX
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Zip | 75081-5956
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Country | US
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Telephone | 972-690-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 S PLANO RD SUITE 112
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City | RICHARDSON
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State | TX
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Zip | 75081-5956
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Country | US
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Telephone | 972-690-4466
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD A MAKLER
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Credential | O.D.
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Telephone | 972-690-4466
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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 | 2138TG
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License Number State | TX
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