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General NPI Number Information
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NPI Number | 1861845307
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Entity Type | Organization
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Legal Business Name | GAINESVILLE EYE CARE
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 311 E CALIFORNIA ST
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City | GAINESVILLE
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State | TX
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Zip | 76240-4036
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Country | US
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Telephone | 940-668-7254
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Fax |
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Provider Business Mailing Address
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Address Line | 9499 CULP BRANCH RD
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City | SANGER
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State | TX
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Zip | 76266-6975
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Country | US
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Telephone | 940-218-8180
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Fax |
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Authorized Official
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Title or Position | OD / OWNER
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Name | DR. ANDREW WARREN
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Credential | O.D.
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Telephone | 940-218-8180
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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 | 7165TG
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License Number State | TX
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