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General NPI Number Information
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NPI Number | 1649893264
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Entity Type | Individual
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Provider Name | VERONICA GOMEZ OD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 8585 SUNSET DR STE 201
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City | MIAMI
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State | FL
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Zip | 33143-3746
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Country | US
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Telephone | 786-558-8542
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 NW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1624
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Country | US
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Telephone | 305-575-7000
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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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 | 5807
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License Number State | FL
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