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General NPI Number Information
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NPI Number | 1093245698
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Entity Type | Individual
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Provider Name | KELSEY MARIE SARVER OD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 13920 W CAMINO DEL SOL STE 6
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4438
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Country | US
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Telephone | 623-584-1366
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Fax |
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Provider Business Mailing Address
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Address Line | 13920 W CAMINO DEL SOL STE 6
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4438
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Country | US
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Telephone | 623-584-1366
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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 | 27OA00675600
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License Number State | NJ
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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 | OPC5842
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License Number State | FL
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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 | OPT-002878
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License Number State | AZ
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