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General NPI Number Information
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NPI Number | 1679890727
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Entity Type | Organization
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Legal Business Name | IC EYE CARE, PC
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Dates
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Enumeration Date | 04/29/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 14405 FM 2100 RD STE C
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City | CROSBY
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State | TX
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Zip | 77532-6586
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Country | US
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Telephone | 832-414-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 14405 FM 2100 RD STE C
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City | CROSBY
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State | TX
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Zip | 77532-6586
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Country | US
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Telephone | 832-414-2020
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HARRY TRAN
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Credential | OD
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Telephone | 832-414-2020
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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 | TX6695
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License Number State | TX
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