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General NPI Number Information
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NPI Number | 1811584402
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Entity Type | Individual
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Provider Name | ANANYA SEN GUPTA OD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 4850 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77002-9718
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Country | US
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Telephone | 713-523-5109
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Fax | 713-523-1633
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Provider Business Mailing Address
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Address Line | 1000 MAIN ST STE T10
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City | HOUSTON
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State | TX
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Zip | 77002-6345
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Country | US
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Telephone | 713-658-8301
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Fax | 571-223-6780
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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 | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 9978TG
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License Number State | TX
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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 | 9978
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License Number State | TX
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