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General NPI Number Information
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NPI Number | 1922106269
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Entity Type | Organization
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Legal Business Name | CAPITAL EYE CARE PC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 9300 SOUTH IH 35 B
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City | AUSTIN
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State | TX
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Zip | 78748
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Country | US
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Telephone | 512-345-2595
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Fax | 512-692-1873
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Provider Business Mailing Address
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Address Line | 5501 BALCONES DR STE A PMB 210
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City | AUSTIN
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State | TX
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Zip | 78731-5043
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Country | US
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Telephone | 512-345-2595
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Fax | 512-692-1873
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Authorized Official
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Title or Position | OWNER OPTOMOTRIST
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Name | CARLA G GASPARINI
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Credential | OD
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Telephone | 512-294-3066
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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 | 5858TG
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License Number State | TX
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