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General NPI Number Information
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NPI Number | 1629891007
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Entity Type | Individual
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Provider Name | YUSEINIS GUTIERREZ SAEZ OPTOMETRIST
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 18511 HIGHLAND MEDICS STREET
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City | EL PASO
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State | TX
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Zip | 79918
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Country | US
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Telephone | 915-742-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 14834 W DOVESTAR DR
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City | SURPRISE
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State | AZ
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Zip | 85374-3463
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Country | US
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Telephone | 480-942-2767
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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 | 0618003457
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 11257
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License Number State | TX
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