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General NPI Number Information
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NPI Number | 1053244970
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Entity Type | Individual
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Provider Name | KAYLEE WHITE OD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 2600 VIA FORTUNA
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City | AUSTIN
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State | TX
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Zip | 78746-7990
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Country | US
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Telephone | 512-327-4123
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Fax |
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Provider Business Mailing Address
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Address Line | 149 JOSEPH DR
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City | BUDA
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State | TX
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Zip | 78610-3690
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Country | US
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Telephone | 512-917-4151
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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 | 11624TG
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License Number State | TX
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