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General NPI Number Information
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NPI Number | 1265301170
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Entity Type | Individual
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Provider Name | FELIPE FERNANDO GUTIERREZ JR. OD
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Gender | Male
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 7600 N 10TH ST STE 600G
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City | MCALLEN
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State | TX
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Zip | 78504-7716
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Country | US
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Telephone | 956-800-6870
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Fax |
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Provider Business Mailing Address
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Address Line | 2480 DATE PALM DR
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-6496
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Country | US
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Telephone | 956-573-1260
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Fax |
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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 | 11555
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License Number State | TX
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