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General NPI Number Information
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NPI Number | 1306024401
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Entity Type | Organization
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Legal Business Name | GARY CLOUD, O.D., , P.C.
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 559 HWY. 281 N.
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City | ALICE
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State | TX
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Zip | 78332-7801
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Country | US
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Telephone | 361-664-2020
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Fax | 361-664-7852
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Provider Business Mailing Address
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Address Line | 559 HWY. 281 N.
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City | ALICE
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State | TX
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Zip | 78332-7801
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Country | US
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Telephone | 361-664-2020
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Fax | 361-664-7852
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. GARY CLOUD
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Credential | D.O.
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Telephone | 361-664-2020
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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 |
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License Number State |
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