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General NPI Number Information
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NPI Number | 1891978896
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Entity Type | Organization
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Legal Business Name | GULFGATE VISION PC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 6888 GULF FWY STE 614
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City | HOUSTON
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State | TX
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Zip | 77087-2550
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Country | US
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Telephone | 713-641-5353
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Fax | 713-645-1097
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Provider Business Mailing Address
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Address Line | 6888 GULF FWY STE 614
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City | HOUSTON
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State | TX
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Zip | 77087-2550
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Country | US
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Telephone | 713-641-5353
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Fax | 713-645-1097
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. ZEINEP O. ECHETEBU
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Credential | OD,PHD
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Telephone | 713-641-5353
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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 | 5392TG
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License Number State | TX
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