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General NPI Number Information
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NPI Number | 1467019646
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Entity Type | Individual
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Provider Name | CAYLEY STOUT OD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 6725 MIAMI AVE STE 101
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City | CINCINNATI
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State | OH
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Zip | 45243-3158
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Country | US
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Telephone | 513-561-7076
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Fax | 513-561-2066
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Provider Business Mailing Address
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Address Line | 6725 MIAMI AVE STE 101
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City | CINCINNATI
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State | OH
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Zip | 45243-3158
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Country | US
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Telephone | 513-561-7076
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Fax | 513-561-2066
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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 | OPT006786
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License Number State | OH
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