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General NPI Number Information
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NPI Number | 1851538292
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Entity Type | Organization
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Legal Business Name | EYECARE SOLUTION SPECIALISTS, LLC
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 3836 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77027-5802
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Country | US
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Telephone | 713-355-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 8618 FONTAINBLEU
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City | HOUSTON
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State | TX
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Zip | 77024-4602
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Country | US
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Telephone | 713-907-2631
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DR. CHARLENE ANN FRANKLIN
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Credential | O.D.
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Telephone | 713-907-2631
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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 | 4648T
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License Number State | TX
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