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General NPI Number Information
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NPI Number | 1922602978
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Entity Type | Individual
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Provider Name | SHIPRA AGRAWAL OD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 5420 DASHWOOD DR STE 101
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City | HOUSTON
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State | TX
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Zip | 77081-5333
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Country | US
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Telephone | 713-668-9118
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 GRAMERCY ST STE 400
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City | HOUSTON
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State | TX
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Zip | 77025-1756
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Country | US
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Telephone | 713-668-6828
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9921
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License Number State | TX
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