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General NPI Number Information
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NPI Number | 1922470517
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST EYE CARE, PLLC
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 11/20/2015
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Provider Practice Location Address
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Address Line | 2025 N CENTRAL EXPY
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City | MCKINNEY
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State | TX
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Zip | 75070-2911
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Country | US
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Telephone | 281-315-4868
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 JENNIFER DR
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City | GARLAND
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State | TX
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Zip | 75042-3921
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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 | DOCTOR OF OPTOMETRY
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Name | DR. TUYEN THANH PHAM
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Credential | O.D.
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Telephone | 281-315-4868
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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 | 8612TG
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License Number State | TX
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