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General NPI Number Information
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NPI Number | 1285700534
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Entity Type | Organization
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Legal Business Name | TINA N. KASTLER, OD PC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 5845 W. BELL RD
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 602-942-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 12215 W MONTE LINDO LN
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City | SUN CITY
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State | AZ
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Zip | 85373
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Country | US
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Telephone | 623-341-2443
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TINA NICOLE KASTLER
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Credential | OD
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Telephone | 623-341-2449
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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 |
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License Number State |
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