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General NPI Number Information
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NPI Number | 1033639851
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Entity Type | Individual
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Provider Name | KAYLA KARPUK OD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 3101 W 57TH ST
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City | SIOUX FALLS
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State | SD
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Zip | 57108-3162
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Country | US
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Telephone | 605-361-3937
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Fax |
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Provider Business Mailing Address
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Address Line | 4708 S HOMAN PLACE UNIT #5
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City | SIOUX FALLS
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State | SD
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Zip | 57108
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 737
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License Number State | SD
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