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General NPI Number Information
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NPI Number | 1588337653
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Entity Type | Individual
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Provider Name | GABRIELA MARIE LAHAIE LUNA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1201 W GRANDE BLVD
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City | TYLER
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State | TX
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Zip | 75703-6124
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Country | US
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Telephone | 903-597-4644
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Fax | 267-426-5015
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Provider Business Mailing Address
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Address Line | 4539 CASCADES SHORELINE DR
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City | TYLER
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State | TX
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Zip | 75709-8902
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Country | US
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Telephone | 312-800-3620
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD472980
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | V9927
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License Number State | TX
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