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General NPI Number Information
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NPI Number | 1912366717
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Entity Type | Organization
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Legal Business Name | PHAMILY EYECARE
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 20131 HIGHWAY 59 N STE 1140
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City | HUMBLE
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State | TX
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Zip | 77338-2331
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Country | US
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Telephone | 281-540-7040
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Fax |
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Provider Business Mailing Address
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Address Line | 602 ROYAL OAKS DR
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-7006
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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 | PRESIDENT
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Name | VANG PHAM
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Credential | O.D.
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Telephone | 832-814-2344
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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 | 6971
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License Number State | TX
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