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General NPI Number Information
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NPI Number | 1871704775
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Entity Type | Organization
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Legal Business Name | VISION PRO, P.A.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 20920 KUYKENDAHL RD. STE. C
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City | SPRING
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State | TX
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Zip | 77379
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Country | US
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Telephone | 281-353-3937
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Fax | 281-528-9451
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Provider Business Mailing Address
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Address Line | 20920 KUYKENDAHL RD STE C
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City | SPRING
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State | TX
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Zip | 77379-3378
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Country | US
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Telephone | 281-353-3937
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Fax | 281-528-9451
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL PROSKE
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Credential | O.D.
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Telephone | 281-353-3937
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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 | 05881TG
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License Number State | TX
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