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General NPI Number Information
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NPI Number | 1841545605
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Entity Type | Individual
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Provider Name | INNA GASTON OD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 714 W 181ST ST
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City | NEW YORK
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State | NY
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Zip | 10033-4702
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Country | US
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Telephone | 212-517-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 2431 BISSONNET ST
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City | HOUSTON
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State | TX
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Zip | 77005-1451
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Country | US
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Telephone | 713-522-2007
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Fax | 281-410-2010
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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 | TUV007869
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License Number State | NY
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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 | 10116TG
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License Number State | TX
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