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General NPI Number Information
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NPI Number | 1770707853
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Entity Type | Organization
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Legal Business Name | TOTAL EYE CARE, PA
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 08/24/2012
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Provider Practice Location Address
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Address Line | 12320 BARKER CYPRESS RD STE 400
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City | CYPRESS
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State | TX
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Zip | 77429-8325
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Country | US
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Telephone | 281-373-1020
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Fax | 281-373-1695
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Provider Business Mailing Address
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Address Line | 12320 BARKER CYPRESS RD STE 400
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City | CYPRESS
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State | TX
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Zip | 77429-8325
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Country | US
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Telephone | 281-373-1020
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Fax | 281-373-1695
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Authorized Official
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Title or Position | DOCTOR/BILLING
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Name | DR. YVONNE JENKINS
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Credential | O.D.
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Telephone | 281-373-1020
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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 | 5754TG
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License Number State | TX
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