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General NPI Number Information
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NPI Number | 1558482729
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Entity Type | Organization
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Legal Business Name | ESSENCE EYECARE, P.A.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 05/14/2009
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Provider Practice Location Address
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Address Line | 15955 FM 529 RD
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City | HOUSTON
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State | TX
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Zip | 77095-2513
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Country | US
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Telephone | 832-593-8833
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Fax | 832-593-8844
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Provider Business Mailing Address
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Address Line | 15955 FM 529 RD
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City | HOUSTON
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State | TX
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Zip | 77095-2513
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Country | US
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Telephone | 832-593-8833
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Fax | 832-593-8844
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ALPA PATEL VYAS
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Credential | O.D.
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Telephone | 832-593-8833
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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 | 5991T
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License Number State | TX
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