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General NPI Number Information
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NPI Number | 1962860668
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Entity Type | Organization
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Legal Business Name | RJ CASSIDY OPTICIANS, INC.
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2900 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77098-1112
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Country | US
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Telephone | 713-523-8682
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Fax | 713-528-1207
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Provider Business Mailing Address
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Address Line | 2900 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77098-1112
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Country | US
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Telephone | 713-523-8682
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Fax | 713-528-1207
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KIM A FLEEMAN
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Credential | OPTICIAN
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Telephone | 713-523-8682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | TX
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