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General NPI Number Information
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NPI Number | 1689086365
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Entity Type | Organization
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Legal Business Name | HOWERTON EYE CLINIC, PLLC
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 5625 EIGER RD STE 100
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City | AUSTIN
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State | TX
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Zip | 78735-8978
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Country | US
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Telephone | 512-443-9715
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Fax | 512-443-9845
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Provider Business Mailing Address
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Address Line | 2610 S IH 35
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City | AUSTIN
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State | TX
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Zip | 78704-5703
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Country | US
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Telephone | 512-443-9715
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. SCOTT DOUGLAS KELLY
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Credential | MD
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Telephone | 512-443-9715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G2318
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License Number State | TX
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