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General NPI Number Information
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NPI Number | 1942561980
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Entity Type | Individual
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Provider Name | DENETRICE EMERSON COLEMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 13427 I-10 EAST
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City | HOUSTON
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State | TX
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Zip | 77015-5901
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Country | US
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Telephone | 713-450-2020
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Fax | 713-451-3937
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Provider Business Mailing Address
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Address Line | 13427 INTERSTATE 10 EAST
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City | HOUSTON
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State | TX
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Zip | 77015
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Country | US
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Telephone | 713-450-2020
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Fax | 713-451-3937
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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 | 4623T
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License Number State | TX
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