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General NPI Number Information
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NPI Number | 1891427399
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD EYE DOCTORS PLLC
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 20750 KUYKENDAHL RD STE 150-B
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City | SPRING
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State | TX
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Zip | 77379-3535
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Country | US
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Telephone | 254-615-1091
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Fax |
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Provider Business Mailing Address
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Address Line | 15002 REDDING CREST LN
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City | CYPRESS
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State | TX
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Zip | 77429-4644
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Country | US
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Telephone | 405-664-1658
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Fax |
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | MICHELLE TRAM PHAM
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Credential | O.D
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Telephone | 405-664-1658
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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 |
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License Number State |
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