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General NPI Number Information
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NPI Number | 1669331369
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Entity Type | Organization
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Legal Business Name | VIDOR TSO PA
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 868 N MAIN ST
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City | VIDOR
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State | TX
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Zip | 77662-4336
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Country | US
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Telephone | 409-600-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 868 N MAIN ST
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City | VIDOR
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State | TX
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Zip | 77662-4336
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Country | US
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Telephone | 409-600-1200
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA RHODES
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Credential | OD
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Telephone | 409-600-1200
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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