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General NPI Number Information
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NPI Number | 1811035249
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Entity Type | Individual
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Provider Name | JOHN KWAPICK I O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1084 BAYBROOK MALL
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2744
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Country | US
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Telephone | 281-480-9799
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Fax | 281-480-9798
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Provider Business Mailing Address
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Address Line | 18102 STARBOARD DR
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City | HOUSTON
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State | TX
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Zip | 77058-4334
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Country | US
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Telephone | 713-498-4650
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Fax |
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 2465TG
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License Number State | TX
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