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General NPI Number Information
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NPI Number | 1578296620
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Entity Type | Organization
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Legal Business Name | URBINA FAMILY EYECARE LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 26112 OVERLOOK PKWY STE 1110
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City | SAN ANTONIO
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State | TX
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Zip | 78260-6054
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Country | US
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Telephone | 210-236-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 DOVE TER
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City | SAN ANTONIO
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State | TX
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Zip | 78260-4206
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Country | US
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Telephone | 956-342-5050
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Fax | 210-229-8532
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ASHLEY ATENCIO
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Credential | OD
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Telephone | 956-342-5050
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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 |
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License Number State |
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