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General NPI Number Information
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NPI Number | 1700456381
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Entity Type | Organization
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Legal Business Name | GAMEZ VISION, LLC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 739 N HIGHWAY 67
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City | CEDAR HILL
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State | TX
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Zip | 75104-2142
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Country | US
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Telephone | 972-291-2288
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Fax | 972-291-1288
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Provider Business Mailing Address
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Address Line | 739 N HIGHWAY 67
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City | CEDAR HILL
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State | TX
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Zip | 75104-2142
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Country | US
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Telephone | 972-291-2288
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | RICK ROMERO
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Credential |
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Telephone | 817-937-8585
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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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