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General NPI Number Information
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NPI Number | 1710128921
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Entity Type | Individual
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Provider Name | DANIELLE RANKIN PANTELIS OD
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Gender | Female
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 10420 BROADWAY ST
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City | PEARLAND
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State | TX
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Zip | 77584-7852
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Country | US
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Telephone | 281-992-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 2914 BROOKVIEW DR
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City | PEARLAND
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State | TX
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Zip | 77584-7033
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Country | US
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Telephone | 281-794-8723
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 7224TG
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License Number State | TX
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