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General NPI Number Information
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NPI Number | 1649319559
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Entity Type | Organization
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Legal Business Name | MELISSA STANSELL OD PA
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 3305 NE LOOP 286 STE C
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City | PARIS
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State | TX
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Zip | 75460-3402
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Country | US
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Telephone | 903-784-8350
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Fax | 903-784-4349
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Provider Business Mailing Address
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Address Line | 3305 NE LOOP 286 STE C
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City | PARIS
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State | TX
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Zip | 75460-3402
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Country | US
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Telephone | 903-784-8350
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Fax | 903-784-4349
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MELISSA (NONE) STANSELL
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Credential | O.D.
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Telephone | 903-784-8350
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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 | 3578T
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License Number State | TX
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