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General NPI Number Information
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NPI Number | 1902998453
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Entity Type | Organization
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Legal Business Name | INFINITY EYECARE, P.A.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 1700 DALLAS PKWY SUITE A
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City | PLANO
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State | TX
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Zip | 75093-4519
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Country | US
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Telephone | 972-250-0019
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Fax | 972-250-2121
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Provider Business Mailing Address
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Address Line | 7001 PARKWOOD BLVD APT 3212
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City | PLANO
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State | TX
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Zip | 75024-7168
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. PETER CHAO
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Credential | OD
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Telephone | 972-250-0019
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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 | 5895T
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License Number State | TX
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