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General NPI Number Information
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NPI Number | 1558480624
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Entity Type | Organization
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Legal Business Name | GLASSES BY PHIL
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 6411 FANNIN ST 7TH FLOOR JONES PAVILION
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-704-0653
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Fax |
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Provider Business Mailing Address
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Address Line | 6426 HOLLOW OAKS DR
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City | HOUSTON
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State | TX
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Zip | 77050-3732
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Country | US
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Telephone | 281-449-0617
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP DELPHIN
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Credential |
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Telephone | 281-460-5109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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