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General NPI Number Information
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NPI Number | 1568633873
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Entity Type | Organization
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Legal Business Name | EYECARE 2000 PA
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 04/04/2019
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Provider Practice Location Address
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Address Line | 5700 S GESSNER DR SUITE L
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City | HOUSTON
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State | TX
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Zip | 77036-1699
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Country | US
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Telephone | 713-771-9998
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Fax | 713-771-9997
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Provider Business Mailing Address
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Address Line | 5700 S GESSNER DR SUITE L
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City | HOUSTON
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State | TX
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Zip | 77036-1699
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Country | US
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Telephone | 713-771-9998
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Fax | 713-771-9997
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. THAI DINH-MINH NGUYEN
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Credential | O.D.
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Telephone | 713-771-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 4524T
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License Number State | TX
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