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General NPI Number Information
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NPI Number | 1619388725
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Entity Type | Organization
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Legal Business Name | FLEMING VISION CARE LLC
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 1700 RUFE SNOW DR
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City | KELLER
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State | TX
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Zip | 76248-5628
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Country | US
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Telephone | 817-913-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 1609 WILLOW GLEN CT
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City | KELLER
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State | TX
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Zip | 76248-2058
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Country | US
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Telephone | 817-913-5777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIC K FLEMING
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Credential | O.D.
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Telephone | 817-913-5777
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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 | 5637
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License Number State | TX
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