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General NPI Number Information
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NPI Number | 1396185427
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Entity Type | Individual
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Provider Name | TRISTA PABISZ OD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1384 S 5TH ST
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2444
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Country | US
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Telephone | 636-946-9242
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Fax | 636-946-4903
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Provider Business Mailing Address
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Address Line | 1401 TRIAD CENTER DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-7353
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Country | US
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Telephone | 636-441-8010
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Fax | 636-441-5128
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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 | 2013021145
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License Number State | MO
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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 | 4901004780
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License Number State | MI
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