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General NPI Number Information
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NPI Number | 1538571047
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Entity Type | Organization
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Legal Business Name | EE OPTICAL
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 2420 GESSNER RD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77080-5013
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Country | US
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Telephone | 713-468-9130
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Fax | 714-468-9820
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Provider Business Mailing Address
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Address Line | 2420 GESSNER RD SUITE C
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City | HOUSTON
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State | TX
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Zip | 77080-5013
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Country | US
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Telephone | 713-468-9130
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Fax | 714-468-9820
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Authorized Official
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Title or Position | OWNER
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Name | ANGELICA HURTADO
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Credential |
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Telephone | 713-468-9130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | H103106
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License Number State | TX
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