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General NPI Number Information
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NPI Number | 1700074655
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Entity Type | Organization
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Legal Business Name | JAMES A OEVERMANN, O.D. PC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 7035 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-1209
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Country | US
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Telephone | 281-550-4141
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Fax | 281-550-9771
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Provider Business Mailing Address
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Address Line | 7035 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-1209
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Country | US
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Telephone | 281-550-4141
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Fax | 281-550-9771
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES OEVERMANN
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Credential | OD
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Telephone | 281-550-4141
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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 | 5440TG
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License Number State | TX
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