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General NPI Number Information
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NPI Number | 1730300112
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Entity Type | Organization
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Legal Business Name | DORIS H. CHAO, O.D., P.C.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3000 GRAPEVINE MILLS PKWY #433
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City | GRAPEVINE
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State | TX
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Zip | 76051-2008
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Country | US
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Telephone | 972-355-4726
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Fax | 972-355-4787
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Provider Business Mailing Address
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Address Line | 3000 GRAPEVINE MILLS PKWY #433
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City | GRAPEVINE
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State | TX
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Zip | 76051-2008
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Country | US
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Telephone | 972-355-4726
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Fax | 972-355-4787
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Authorized Official
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Title or Position | OPTOMETRY, PRESIDENT
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Name | DR. DORIS H CHAO
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Credential | O.D.
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Telephone | 972-355-4726
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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 | 6201TG
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License Number State | TX
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