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Individual
STEVEN FATE
Active
Individual
STEVEN FATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11003
TX
Other
Enumeration date
11/16/2023
Last updated
04/08/2024
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