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General NPI Number Information
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NPI Number | 1780604694
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Entity Type | Organization
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Legal Business Name | CLEARVIEW SURGERY CENTER INC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 1980 E STATE HWY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-329-2700
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Fax | 817-329-8322
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Provider Business Mailing Address
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Address Line | 1980 E STATE HWY 114
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-329-2700
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Fax | 817-329-8322
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A LYONS
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Credential | M.D.
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Telephone | 817-329-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 008300
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License Number State | TX
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