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General NPI Number Information
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NPI Number | 1902722168
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Entity Type | Organization
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Legal Business Name | GULF DUNES EYE CARE LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 225 E NINE MILE RD
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City | PENSACOLA
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State | FL
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Zip | 32534-5783
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Country | US
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Telephone | 850-777-3922
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Fax |
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Provider Business Mailing Address
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Address Line | 7183 RUSHING WATER CT
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City | SPANISH FORT
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State | AL
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Zip | 36527-9091
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Country | US
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Telephone | 801-386-0198
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DARREN TERRY
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Credential | OD
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Telephone | 801-386-0198
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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 |
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License Number State |
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