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NPI 1780362772

NPI 1780362772 : ERICA FROST O.D. : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1780362772
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    Entity Type          |    Individual 
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    Provider Name        |    ERICA FROST O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/10/2023
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    1928 STATE HIGHWAY 46 W STE 110 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78132-0022
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    Country              |    US
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    Telephone            |    210-507-7979
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    Fax                  |    210-579-6555
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Provider Business Mailing Address
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    Address Line         |    1928 STATE HIGHWAY 46 W STE 110 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78132-0022
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    Country              |    US
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    Telephone            |    210-507-7979
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    Fax                  |    210-579-6555
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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       |    OEG004042
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    11223
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    License Number State |    TX
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