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General NPI Number Information
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NPI Number | 1568883742
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Entity Type | Organization
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Legal Business Name | EYEFINITY EYE CARE
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Dates
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Enumeration Date | 12/14/2013
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Last Update Date | 12/14/2013
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Provider Practice Location Address
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Address Line | 9101 N TARRANT PKWY
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8655
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Country | US
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Telephone | 817-514-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 132 KILBRIDGE CT
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City | COPPELL
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State | TX
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Zip | 75019-2016
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Country | US
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Telephone | 504-717-4902
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | THU KHA
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Credential | O.D.
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Telephone | 817-514-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 7259 TG
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License Number State | TX
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