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General NPI Number Information
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NPI Number | 1942425855
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Entity Type | Organization
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Legal Business Name | BALL FAMILY VISION CENTER
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 100 COUNTRY CLUB RD STE 120
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City | ARGYLE
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State | TX
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Zip | 76226
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Country | US
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Telephone | 940-464-2020
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Fax | 940-464-2021
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Provider Business Mailing Address
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Address Line | 100 COUNTRY CLUB RD STE 120
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City | ARGYLE
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State | TX
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Zip | 76226-2358
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Country | US
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Telephone | 940-464-2020
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Fax | 940-464-2021
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ELAINE M SHIH
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Credential | OD
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Telephone | 940-464-2020
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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 | 6059T
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License Number State | TX
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