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NPI 1780024737

NPI 1780024737 : ALYSSA M GAMEZ O.D. : SINTON, TX

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General NPI Number Information
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    NPI Number           |    1780024737
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    Entity Type          |    Individual 
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    Provider Name        |    ALYSSA M GAMEZ O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/04/2013
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    Last Update Date     |    12/20/2022
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Provider Practice Location Address
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    Address Line         |    1150 E MARKET ST 
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    City                 |    SINTON
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    State                |    TX
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    Zip                  |    78387-2930
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    Country              |    US
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    Telephone            |    361-360-4434
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    Fax                  |    866-512-1070
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Provider Business Mailing Address
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    Address Line         |    1150 E MARKET ST 
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    City                 |    SINTON
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    State                |    TX
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    Zip                  |    78387-2930
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    Country              |    US
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    Telephone            |    361-360-4434
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    Fax                  |    866-512-1070
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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       |    8204TG
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    License Number State |    TX
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