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General NPI Number Information
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NPI Number | 1891151775
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Entity Type | Organization
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Legal Business Name | DRIPPING SPRINGS OPHTHALMOLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 09/05/2017
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Provider Practice Location Address
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Address Line | 13830 SAWYER RANCH ROAD SUITE 202
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-5246
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Country | US
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Telephone | 512-213-2220
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Fax | 512-213-2237
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Provider Business Mailing Address
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Address Line | 13830 SAWYER RANCH ROAD SUITE 202
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-5246
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Country | US
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Telephone | 512-213-2220
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Fax | 512-213-2237
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Authorized Official
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Title or Position | OWNER
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Name | LARA T. DUDEK
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Credential | MD
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Telephone | 512-213-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | TX
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