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General NPI Number Information
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NPI Number | 1376535187
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Entity Type | Individual
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Provider Name | TINA KASTLER O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/17/2005
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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 | 602-942-4124
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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 | 623-341-2449
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Fax | 402-894-0597
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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 | 02240
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License Number State | IA
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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 | 1172
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License Number State | NE
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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-001673
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License Number State | AZ
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