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General NPI Number Information
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NPI Number | 1669623849
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Entity Type | Organization
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Legal Business Name | SEVEN LAKES EYE CARE, PC
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 2214 GRAY HAWK LN
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City | KATY
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State | TX
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Zip | 77449-3321
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Country | US
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Telephone | 281-615-4767
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Fax | 281-578-2768
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Provider Business Mailing Address
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Address Line | 2214 GRAY HAWK LN
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City | KATY
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State | TX
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Zip | 77449-3321
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Country | US
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Telephone | 281-615-4767
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Fax | 281-578-2768
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT BRUCE SCHUCHERT
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Credential | O.D.
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Telephone | 281-578-8074
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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 | 5832TG
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License Number State | TX
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