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General NPI Number Information
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NPI Number | 1073946398
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Entity Type | Individual
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Provider Name | CRISTY L WITT OD
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Gender | Female
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Dates
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Enumeration Date | 08/11/2013
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 15159 E COLFAX AVE UNIT B
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City | AURORA
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State | CO
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Zip | 80011-5707
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Country | US
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Telephone | 303-341-5437
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Fax | 719-542-0425
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Provider Business Mailing Address
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Address Line | 15159 E COLFAX AVE UNIT B
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City | AURORA
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State | CO
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Zip | 80011-5707
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Country | US
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Telephone | 303-341-5437
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Fax | 719-542-0425
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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 | OPT.0003056
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2363
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License Number State | MD
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