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General NPI Number Information
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NPI Number | 1215060223
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Entity Type | Individual
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Provider Name | RON P KAISER O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 12/28/2011
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Provider Practice Location Address
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Address Line | 106 MIERS ST STE A
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City | DEL RIO
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State | TX
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Zip | 78840-3082
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Country | US
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Telephone | 830-775-6567
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Fax | 830-768-3503
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Provider Business Mailing Address
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Address Line | 106 MIERS ST SUITE A
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City | DEL RIO
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State | TX
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Zip | 78840-3081
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Country | US
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Telephone | 830-775-6567
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Fax | 830-768-3503
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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 | 06160TG
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License Number State | TX
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