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General NPI Number Information
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NPI Number | 1982119194
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Entity Type | Organization
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Legal Business Name | SHARP EYE CONSULTANTS, P.A.
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 7333 BARLITE BLVD STE 401
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1320
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Country | US
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Telephone | 210-923-0058
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Fax | 210-924-5593
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Provider Business Mailing Address
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Address Line | PO BOX 12564
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City | SAN ANTONIO
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State | TX
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Zip | 78212-0564
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Country | US
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Telephone | 210-496-9803
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Fax | 210-496-0313
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | LINDA VIDALEZ
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Credential |
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Telephone | 210-496-9803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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