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General NPI Number Information
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NPI Number | 1588839377
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Entity Type | Individual
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Provider Name | RICHARD JASON WORKS O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 01/05/2017
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Provider Practice Location Address
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Address Line | 601 S PLANO RD
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City | RICHARDSON
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State | TX
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Zip | 75081-4512
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Country | US
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Telephone | 972-231-7642
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Fax | 972-767-4350
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Provider Business Mailing Address
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Address Line | 820 MARTIN CREEK DR
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City | PROSPER
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State | TX
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Zip | 75078-7221
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Country | US
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Telephone | 972-838-5796
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Fax | 972-767-4350
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6982TG
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License Number State | TX
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