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General NPI Number Information
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NPI Number | 1629242003
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Entity Type | Organization
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Legal Business Name | RENEAU EYE ASSOCIATION
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 8500 S MAIN ST STE A
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City | HOUSTON
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State | TX
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Zip | 77025-2703
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Country | US
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Telephone | 713-666-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 3106 SILVERBERRY TRL
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City | KINGWOOD
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State | TX
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Zip | 77345-5446
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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 | DIRECTOR
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Name | DR. AARON RENEAU
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Credential |
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Telephone | 713-582-2586
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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 | 6660TG
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License Number State | TX
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