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General NPI Number Information
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NPI Number | 1417352238
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Entity Type | Individual
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Provider Name | STEPHANIE N. KAI O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 124 E. BANDERA ROAD SUITE 403
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City | BOERNE
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State | TX
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Zip | 78006-2849
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Country | US
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Telephone | 830-331-8745
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Fax | 830-331-8749
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Provider Business Mailing Address
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Address Line | 124 E. BANDERA ROAD SUITE 403
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City | BOERNE
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State | TX
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Zip | 78006-2849
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Country | US
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Telephone | 830-331-8745
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Fax | 830-331-8749
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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 | OPT15032TLG
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License Number State | CA
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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 | 8775TG
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License Number State | TX
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