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General NPI Number Information
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NPI Number | 1598051922
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Entity Type | Organization
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Legal Business Name | MEYE VISION CARE, LLC
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 06/23/2011
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Provider Practice Location Address
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Address Line | 616 FM 685 STE 105A
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2829
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Country | US
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Telephone | 512-426-3774
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Fax |
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Provider Business Mailing Address
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Address Line | 616 FM 685 STE 105A
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-2829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | GHADA H ABDALLAH
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Credential | OD
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Telephone | 512-426-3774
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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 | 5405TG
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License Number State | TX
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