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General NPI Number Information
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NPI Number | 1841629532
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Entity Type | Organization
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Legal Business Name | GINA T DO OD PLLC
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 05/01/2018
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Provider Practice Location Address
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Address Line | 6839 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-1315
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Country | US
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Telephone | 281-859-9136
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Fax | 281-550-2814
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Provider Business Mailing Address
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Address Line | 6839 HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77084-1315
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Country | US
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Telephone | 281-859-9136
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Fax | 281-550-2814
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Authorized Official
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Title or Position | OWNER
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Name | GINA T DO
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Credential | OD
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Telephone | 281-859-9136
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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 | 7561TG
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License Number State | TX
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