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General NPI Number Information
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NPI Number | 1942651104
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Entity Type | Individual
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Provider Name | ANGELA DANTIN O.D.
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Gender | Female
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 2506 25TH AVE N STE 3
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City | TEXAS CITY
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State | TX
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Zip | 77590-4666
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Country | US
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Telephone | 409-945-5511
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Fax | 409-945-5511
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Provider Business Mailing Address
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Address Line | 515 22ND ST
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City | GALVESTON
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State | TX
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Zip | 77550-1922
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Country | US
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Telephone |
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Fax |
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 8942T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 8942T
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8942T
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License Number State | TX
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