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General NPI Number Information
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NPI Number | 1871608729
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Entity Type | Organization
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Legal Business Name | ELLIOT STENDING OD PC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 1821 OLD MILL RUN
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City | GARLAND
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State | TX
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Zip | 75042-4214
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Country | US
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Telephone | 972-494-2020
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Fax | 972-276-5664
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Provider Business Mailing Address
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Address Line | 1821 OLD MILL RUN
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City | GARLAND
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State | TX
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Zip | 75042-4214
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Country | US
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Telephone | 972-494-2020
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Fax | 972-276-5664
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | ELLIOT STENDIG
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Credential | O.D.
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Telephone | 972-494-2020
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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 | 2212TG
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License Number State | TX
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