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General NPI Number Information
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NPI Number | 1124334743
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Entity Type | Individual
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Provider Name | CRYSTAL KASPER OMRAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 900 POTOMAC ST
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City | AURORA
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State | CO
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Zip | 80011-6716
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Country | US
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Telephone | 303-363-5105
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Fax |
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Provider Business Mailing Address
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Address Line | 4142 S DEFRAME CT
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City | MORRISON
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State | CO
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Zip | 80465-1091
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Country | US
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Telephone | 219-742-3661
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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 | 4517
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License Number State | FL
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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 | OPT3026
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License Number State | CO
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