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General NPI Number Information
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NPI Number | 1366524324
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Entity Type | Organization
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Legal Business Name | GMN VISION LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 14570 WALLISVILLE RD SUITE 3B
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City | HOUSTON
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State | TX
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Zip | 77049
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Country | US
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Telephone | 713-384-2956
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 BECKTON LN
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City | PEARLAND
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State | TX
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Zip | 77584-7740
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Country | US
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Telephone | 713-384-2956
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Fax | 713-436-6169
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Authorized Official
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Title or Position | MANAGER
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Name | CHRISTINA K. NGUYEN
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Credential | RRT, RPSGT
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Telephone | 713-384-2956
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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 | 0084702
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License Number State | TX
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