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General NPI Number Information
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NPI Number | 1699185025
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Entity Type | Organization
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Legal Business Name | WINK EYE DOCTORS PLLC
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 8555 PRESTON ROAD
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone | 469-708-9393
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2882
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City | FRISCO
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State | TX
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Zip | 75034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | SANDEEP MEHTA
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Credential |
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Telephone | 469-708-9393
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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 | 5835TG
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License Number State | TX
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