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General NPI Number Information
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NPI Number | 1043326622
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Entity Type | Individual
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Provider Name | DEANNA I. PENA-GARCIA OD
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/02/2014
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Provider Practice Location Address
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Address Line | 2855 GRAMERCY ST
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City | HOUSTON
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State | TX
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Zip | 77025-1756
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Country | US
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Telephone | 713-668-1828
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Fax | 713-395-1666
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Provider Business Mailing Address
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Address Line | 7155 OLD KATY RD SUITE N100
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City | HOUSTON
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State | TX
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Zip | 77024-2134
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Country | US
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Telephone | 713-668-6828
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Fax | 832-280-3636
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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 | 05485TG
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License Number State | TX
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