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General NPI Number Information
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NPI Number | 1629386669
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Entity Type | Organization
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Legal Business Name | KAVI OPTICAL LTD
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 1681 N CENTRAL EXPY STE 400
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City | MCKINNEY
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State | TX
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Zip | 75070-3140
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Country | US
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Telephone | 972-548-8710
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Fax | 972-548-9349
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Provider Business Mailing Address
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Address Line | 1681 N CENTRAL EXPY STE 400
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City | MCKINNEY
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State | TX
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Zip | 75070-3140
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Country | US
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Telephone | 972-548-8710
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Fax | 972-548-9349
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Authorized Official
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Title or Position | OPTICIAN
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Name | KARUNA DEMLA
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Credential |
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Telephone | 972-548-8710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | TX
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