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General NPI Number Information
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NPI Number | 1295288306
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Entity Type | Individual
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Provider Name | KRYSTAL REBECCA CHEE O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 6131 E SOUTHERN AVE SUITE NUMBER 700
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City | MESA
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State | AZ
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Zip | 85206-3732
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Country | US
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Telephone | 480-830-7174
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Fax |
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Provider Business Mailing Address
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Address Line | 4823 E CHARLESTON AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-7543
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Country | US
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Telephone | 602-421-4359
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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 | 2142
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License Number State | AZ
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