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General NPI Number Information
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NPI Number | 1699446377
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Entity Type | Organization
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Legal Business Name | SAGINAW FAMILY EYECARE, PLLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 616 E BAILEY BOSWELL RD STE 200
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City | SAGINAW
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State | TX
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Zip | 76131-3575
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Country | US
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Telephone | 682-382-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 616 E BAILEY BOSWELL RD STE 200
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City | SAGINAW
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State | TX
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Zip | 76131-3576
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Country | US
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Telephone | 682-382-2020
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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. ANJONETTE COLVIN
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Credential | OD
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Telephone | 817-701-8775
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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 |
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License Number State |
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