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General NPI Number Information
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NPI Number | 1760805162
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Entity Type | Organization
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Legal Business Name | CLEAR VISION ASSOCIATES PLLC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 851 STATE HIGHWAY 121 BYP
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City | LEWISVILLE
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State | TX
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Zip | 75067-4158
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Country | US
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Telephone | 972-315-9603
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Fax |
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Provider Business Mailing Address
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Address Line | 851 STATE HIGHWAY 121 BYP
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City | LEWISVILLE
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State | TX
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Zip | 75067-4158
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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 | OWNER
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Name | DR. PAUL HEEG
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Credential | OD
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Telephone | 518-312-6923
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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 | 7559TG
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License Number State | TX
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