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General NPI Number Information
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NPI Number | 1023793767
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Entity Type | Individual
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Provider Name | KIANNAH NICOLE LAGUNAS OD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 3419 EL SALIDO PKWY STE 100
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City | CEDAR PARK
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State | TX
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Zip | 78613-5639
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Country | US
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Telephone | 512-918-3937
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Fax | 512-918-2028
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Provider Business Mailing Address
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Address Line | 8610 BOWLING GREEN DR
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City | AUSTIN
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State | TX
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Zip | 78757-7020
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Country | US
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Telephone | 281-639-5665
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 10860TG
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License Number State | TX
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