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General NPI Number Information
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NPI Number | 1477696656
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Entity Type | Individual
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Provider Name | MELANIE SUZANNE KISER O.D.
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Gender | Female
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 1960 US HIGHWAY 70 SE
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City | HICKORY
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State | NC
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Zip | 28602-5106
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Country | US
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Telephone | 828-323-8833
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Fax | 828-322-8687
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Provider Business Mailing Address
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Address Line | 1960 US HIGHWAY 70 SE
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City | HICKORY
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State | NC
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Zip | 28602-5106
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Country | US
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Telephone | 828-323-8833
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Fax | 828-322-8687
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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 | TN1430
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License Number State | TN
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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 | NC1568
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License Number State | NC
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